Organization
MICHIGAN NUTRIGENETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN ALAN RUBLE DO (PRESIDENT)
(616) 255-5338
Entity
Organization
Contact information
Practice address
6701 BOCA VISTA DR NE UNIT 102, ROCKFORD, MI 49341-9655
(616) 255-5338
Mailing address
6701 BOCA VISTA DR NE UNIT 102, ROCKFORD, MI 49341-9655
(616) 255-5338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
02/08/2023
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