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Individual

MRS. RUTH ALMA ROEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3901 BEAUBIEN 3RD FLOOR MAIN BLDG, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201
(313) 745-5906
(313) 745-0955
Mailing address
4201 ST. ANTOINE UHC 6F MAILBOX# 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-6618

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704128683
MI
363LP2300X
Primary Care Nurse Practitioner
4704128683
MI

Other

Enumeration date
02/11/2010
Last updated
06/22/2010
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