Organization
ALLIANCE PHYSICIAN SERVICES PC
Active
Organization
ALLIANCE PHYSICIAN SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN R RUARK (CEO)
(734) 560-8953
Entity
Organization
Contact information
Practice address
3850 2ND ST STE 201, WAYNE, MI 48184-1755
(734) 560-8953
Mailing address
11373 WILLOW WOOD LN, PLYMOUTH, MI 48170-3593
(734) 560-8953
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
08/19/2015
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