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Dr. Ruperto Divino Blanco JR., MD
Family Medicine Physician in Wyoming, Michigan
NPI 1790736643

Ruperto Divino Blanco JR. is a Family Medicine Physician based in Wyoming, MI. Ruperto Divino Blanco JR. practices in Wyoming, MI and has the professional credentials of MD. The NPI Number for Ruperto Divino Blanco JR. is 1790736643 and holds a License No. 4301076807 (Michigan).

The current practice location address for Ruperto Divino Blanco JR. is 5838 Metro Way Sw, Wyoming, MI and can be reached out via phone at 616-249-5300 and via fax at 616-249-5410.

Location: 5838 Metro Way Sw, Wyoming, MI, 49519-9619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790736643
Provider Name
Ruperto Divino Blanco JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5838 Metro Way Sw, Wyoming, MI, 49519-9619
Phone Number
616-249-5300
Fax Number
616-249-5410
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4619765 05 MI
4878220 05 MI
4619756 05 MI
4877705 05 MI
0P441950001 01 MI MEDICARE TYPE 1
institution
Provider Business Practice Location Address Details
Address
5838 Metro Way Sw
City
Wyoming
State
Michigan
Zip
49519-9619
Phone Number
616-249-5300
Fax Number
616-249-5410
person
Provider Business Mailing Address Details
Address
5838 Metro Way Sw
City
Wyoming
State
Michigan
Zip
49519-9619
Phone Number
616-249-5300
Fax Number
616-249-5410
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301076807 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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