Individual
MR. EARL DAVID RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
468 CADIEUX, ANESTHESIA, GROSSE POINTE, MI 48230-1507
(313) 343-1000
Mailing address
468 CADIEUX, ANESTHESIA, GROSSE POINTE, MI 48230-1507
(313) 343-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704201516
MI
Other
Enumeration date
10/15/2010
Last updated
10/18/2010
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