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General NPI Number Information
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NPI Number | 1174971998
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Entity Type | Individual
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Provider Name | MICHAEL RUTHVEN DO
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Gender | Male
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 11200 HIGHLAND RD
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City | HARTLAND
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State | MI
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Zip | 48353-2704
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Country | US
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Telephone | 810-632-5240
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Fax |
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Provider Business Mailing Address
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Address Line | 11200 HIGHLAND RD
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City | HARTLAND
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State | MI
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Zip | 48353-2704
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Country | US
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Telephone | 810-632-5240
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901004965
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License Number State | MI
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