Individual
MISS KRISTA MARIE RUBOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6855 SPRING VALLEY DR STE 110, HOLLAND, OH 43528-9374
(218) 438-0283
(513) 823-3247
Mailing address
6855 SPRING VALLEY DR STE 110, HOLLAND, OH 43528-9374
(218) 438-0283
(513) 823-3247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003759
OH
363A00000X
Physician Assistant
Primary
50.003759RX
OH
363AM0700X
Medical Physician Assistant
50.003759RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156697
—
OH
Enumeration date
03/27/2013
Last updated
05/29/2025
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