Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 10021 | MI |
NPI | 1063455087 |
---|---|
Provider Name | Dr. Richard Rubinstein |
First Address | Farmington Hills, MI 48334-2563 |
Second Address | Farmington Hills, MI 48334-2563 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |