Individual
JENNIFER MAIN RUTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 COLLAND DR, BANNER HEALTH CLINIC, FORT COLLINS, CO 80525-4205
(970) 461-8031
Mailing address
1109 HEPPLEWHITE CT, FORT COLLINS, CO 80526-3821
(970) 810-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0054276
CO
Other
Enumeration date
12/21/2006
Last updated
10/18/2021
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