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Individual

ADAM JON RUBINSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 874-4806
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
(313) 874-4806

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4301063679
MI
207L00000X
Anesthesiology Physician
Primary
4301063679
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003362600
MD
05
010172772
VA
01
0164
CAREFIRST BCBS
DC
05
036789800
DC
01
178808
ANTHEM BCBS
VA
01
252062
KAISER
DC
01
3879713
AETNA HMO
DC
01
5996516
AETNA NONHMO
DC
01
717825
NCPPO
DC
Enumeration date
06/13/2006
Last updated
11/12/2018
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