Individual
MS. MATILDE DINO RUPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CCRN
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
412 BELLARMINE DR, ROCHESTER HILLS, MI 48309-1209
(248) 563-1582
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704283059
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9396638
DEPARTMENT OF HEALTH
FL
Enumeration date
11/04/2019
Last updated
11/04/2019
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