Individual
JEFFREY R RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R ST, SUITE 615, DETROIT, MI 48201-2020
(313) 745-4195
Mailing address
3800 WOODWARD AVE, SUITE 600, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
22039
SC
2086S0129X
Vascular Surgery Physician
Primary
4301090978
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T62385
—
SC
Enumeration date
05/19/2006
Last updated
09/07/2007
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