Individual
BERNARD R RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3031 W GRAND BLVD, RHEUMATOLOGY - NCO 8, DETROIT, MI 48202-3046
(313) 916-2646
Mailing address
3031 W GRAND BLVD, RHEUMATOLOGY - NCO 8, DETROIT, MI 48202-3046
(313) 916-2646
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
5101019001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125067203
—
TX
01
—
660000436
RAILROAD MEDICARE PIN
TX
01
—
842571
BCBS
TX
Enumeration date
04/12/2006
Last updated
07/25/2010
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