Individual provider · Type 1 NPI

Logan Rubin, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1710731591 Active

Practice location

4160 John R St Ste 1017
Detroit, MI 48201-2017

Call (313) 745-4123 Map

Mailing address

5570 Pedrick Plantation Cir
Tallahassee, FL 32317-8203

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710731591

Logan Rubin, DO's National Provider Identifier is 1710731591, issued on Apr 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 16, 2024.