Most Relevant Information
Provider Data
| NPI Number: | 1003452079 |
| Provider Name: | NINA MARIE RUTKOWSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/25/2019 |
| Last Updated: | 02/28/2023 |
Provider Practice Location
33464 SCHOENHERR RD
STERLING HEIGHTS
MI
483126314
Practice Location Phone/Fax
| Phone: | 5869995971 |
| Fax: |
Provider Mailing Location
14843 ANNAPOLIS DR
STERLING HEIGHTS
MI
483133621
Provider Mailing Phone/Fax
| Phone: | 5869075703 |
| Fax: |