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Contact Information

COURTNEY RUSCH
110 E 2ND ST
ROYAL OAK, MI48067-2694
 Phone: 248-546-2110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COURTNEY RUSCH · (Female)

NPI Number 1821659483
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2019
Last updated 07/16/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 01088085A
  • MI License # 4301513350
  • MO License # 2019023134
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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