Individual provider · Type 1 NPI
Michael J. Rutter, MPAS, PA-C
Surgical Physician Assistant · Jbsa Lackland, TX
NPI number
1801952015
Active
Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1801952015
Michael J. Rutter, MPAS, PA-C's National Provider Identifier is 1801952015, issued on Dec 29, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Aug 22, 2018.