Individual
LARS CHRISTIAN RUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23332 RED ARROW HWY, MATTAWAN, MI 49071-9703
(269) 283-5345
Mailing address
839 WICKFORD DR, KALAMAZOO, MI 49009-7975
(269) 501-7762
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154973
—
MI
Enumeration date
06/06/2019
Last updated
06/06/2019
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