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Individual

LAURA RUBI GARCIA-RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3275
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
269937
MA
207YS0123X
Facial Plastic Surgery Physician
Primary
4301100481
MI

Other

Enumeration date
05/03/2012
Last updated
08/04/2018
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