| Doctor Name: | JOHN RUPKE |
| NPI Number: | 1639362833 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 026158 |
| Business Practice Address: | 324 Forest Hill Ave Se Grand Rapids, MI - 495462316 |
| Business Phone Number: | 8009686866 |
| Business Fax Number: | 6165327230 |
| Mailing Address: | Po Box 1969, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495011969 |
| Phone Number: | 8009686866 |
| Fax Number: | 6165327230 |
| NPI Enumeration Date: | 08/21/2007 |
| NPI Last Update Date: | 05/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 026158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |