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Individual

HAROLD E RUTILA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1121 W HILL RD, FLINT, MI 48507-4733
(810) 232-8888
(810) 232-9090
Mailing address
13031 OLD BILMAR LN, GRAND BLANC, MI 48439-1939
(810) 232-8888
(810) 232-9190

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301059051
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0102533022
HEALTHPLUS
MI
01
086804
SELECTCARE
MI
01
223542
MCLAREN HEALTHPLAN
MI
01
F28398
HAP
MI
01
MCARE
C2280
MI
Enumeration date
05/26/2006
Last updated
07/08/2007
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