| Doctor Name: | SHARON RUBICK |
| NPI Number: | 1497894752 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 4704088816 |
| Business Practice Address: | 2411 Lake Ave #21 North Muskegon, MI - 494453300 |
| Business Phone Number: | 6168132679 |
| Business Fax Number: | 2317192809 |
| Mailing Address: | 2411 Lake Ave, #21 NORTH MUSKEGON |
| State: | MI |
| Postal Code: | 494453300 |
| Phone Number: | 6168132679 |
| Fax Number: | 2317192809 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0000X |
| License Number: | 4704088816 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pain Management |
| Taxonomy Definition: | |