Individual
LEON RUBENFAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30445 NORTHWESTERN HWY, OFC 145, FARMINGTON HILLS, MI 48334-3174
(248) 702-0999
(248) 702-0995
Mailing address
5034 FAR RAVINE CT, WEST BLOOMFIELD, MI 48323-2414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301027683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2626300111
BCBSM
MI
05
—
2832295
—
MI
01
—
382691279
TAX ID
MI
Enumeration date
01/02/2006
Last updated
11/29/2016
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