Dr. Rudolph Garza
Independent Medical Examiner
1152 Burton St Se
Grand Rapids
, Michigan 49507-3359
Dr. Rudolph Garza
Independent Medical Examiner
1152 Burton St Se
Grand Rapids
, Michigan 49507-3359
(616) 475-7830
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Dr. Rudolph Garza
- 1152 Burton Se
- Grand Rapids, MI
- Zip : 49507
- Phone : (616) 475-7830
Second Address
- Dr. Rudolph Garza
- 1152 Burton St Se
- Grand Rapids, MI
- Zip : 49507-3359
- Phone : (616) 475-7830
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | 23010005627 | MI |
National Provider Identifier
| NPI | 1023234754 |
|---|---|
| Provider Name | Dr. Rudolph Garza |
| First Address | Grand Rapids, MI 49507 |
| Second Address | Grand Rapids, MI 49507-3359 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2301005627 | STATE LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.