Individual
LAJUANE E RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15801 W MCNICHOLS RD, DETROIT, MI 48235-3543
(248) 414-5405
(248) 414-5407
Mailing address
15801 W MCNICHOLS RD, DETROIT, MI 48235-3543
(248) 414-5405
(248) 414-5407
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
LR00251713
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5255236
—
MI
Enumeration date
02/05/2009
Last updated
02/05/2009
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