MEDICARE: RUDY ANTHONY CUETO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	4301059403	MI
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	4301059403	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184670291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUDY ANTHONY CUETO M.D.

Provider Business Mailing Address
First Line	:	9104 WHISPERING PINES DR
Second Line	:
City	:	SALINE
State	:	MI
Zip	:	48176-9235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	36475 FIVE MILE RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48154-1971
Country	:	US
Telephone Number	:	734-655-4800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	03/18/2026

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