Individual
COURTNEY RUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E 2ND ST, ROYAL OAK, MI 48067-2694
(248) 546-2110
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01088085A
IN
208000000X
Pediatrics Physician
2019023134
MO
208000000X
Pediatrics Physician
4301513350
MI
2080P0206X
Pediatric Gastroenterology Physician
Primary
4301513350
MI
Other
Enumeration date
06/25/2019
Last updated
07/16/2025
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