Individual
BASIL RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 488-4673
Mailing address
919 EDGEWOOD PL, ANN ARBOR, MI 48103-4862
(734) 489-2738
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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