Healthcare Provider Details

I. General information

NPI: 1972592863
Provider Name (Legal Business Name): JULIE RUTBERG MS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF OTTAWA HEART INSTITUTE 40 RUSKIN STREET, H3102
OTTAWA ON
K1Y4W7
CA

IV. Provider business mailing address

UNIVERSITY OF OTTAWA HEART INSTITUTE 40 RUSKIN STREET, H3102
OTTAWA ON
K1Y4W7
CA

V. Phone/Fax

Practice location:
  • Phone: 613-798-5555
  • Fax: 613-761-5060
Mailing address:
  • Phone: 613-798-5555
  • Fax: 613-761-5060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: