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1801952015
MICHAEL J RUTTER
JBSA LACKLAND, TX
NPI
1801952015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2006-12-29
Last Update Date
2018-08-22
Business Address
MICHAEL J RUTTER MPAS, PA-C
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Phone number: 210-292-4242
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Mailing Address
MICHAEL J RUTTER MPAS, PA-C
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-4242
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