Individual
DR. ADAM D RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081-1116
(586) 779-7610
Mailing address
21000 E 12 MILE RD, STE 111, ST CLAIR SHORES, MI 48081
(586) 779-7310
(586) 445-2523
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
AR072598
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405015491
BLUE CROSS BLUE SHIELD
—
01
—
0501549
BLUE CARE NETWORK
—
01
—
139782
CARE CHOICES
—
01
—
16768
MCAR
—
05
—
4635114
—
MI
01
—
7234039
CIGNA
—
01
—
7883549
AETNA
—
01
—
I18665
HEALTH ALLIANCE PLAN
—
01
—
P00217135
RAILROAD MEDICARE
—
Enumeration date
09/29/2006
Last updated
10/09/2007
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