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NPI Code Detail

MEDICARE: MARTHA MARY RUMSCHLAG MD

MEDICARE: MARTHA MARY RUMSCHLAG MD
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
1207Q00000XFamily Medicine Physician4301071566MI

Other Identifiers

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

General Provider Information

NPI Number : 1447251368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA MARY RUMSCHLAG MD
Provider Business Mailing Address
First Line : 15990 W 9 MILE RD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48075-4826
Country : US
Telephone Number : 248-849-4226
Fax Number : 248-849-4240
Provider Business Practice Location Address
First Line : 210 N LAFAYETTE ST
Second Line :
City : SOUTH LYON
State : MI
Zip : 48178-2048
Country : US
Telephone Number : 248-437-1744
Fax Number : 248-437-3245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 03/28/2025

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