Organization
MATTHEW RUSHLAU EDD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RUSHLAU EDD (OWNER)
(269) 567-5912
Entity
Organization
Contact information
Practice address
4031 W MAIN ST STE 400, KALAMAZOO, MI 49006-3730
(269) 567-4202
(269) 344-8696
Mailing address
4021 W MAIN ST STE 100, KALAMAZOO, MI 49006-3706
(269) 384-6055
(269) 384-6056
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010494
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680C912030
BLUE CROSS
MI
Enumeration date
08/29/2007
Last updated
07/07/2022
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