Individual
DR. MICHAEL DANA RUTTEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 W. STEWART DR, SUITE 607, ORANGE, CA 92868-3882
(714) 639-4901
(714) 771-5389
Mailing address
1310 W. STEWART DR, SUITE 607, ORANGE, CA 92868-3882
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G078366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G783660
—
CA
Enumeration date
03/17/2006
Last updated
07/08/2007
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