CORY J RUBIN MD PC NPI 1518513902

NPI Information

  • NPI: 1518513902
  • Provider Name: CORY J RUBIN MD PC
  • Classification: Dermatology - 207NI0002X
  • Specialization: Clinical & Laboratory Dermatological Immunology
  • Entity Type: Organization
  • Doing Business As: MICHIGAN DERMATOLOGY INSTITUTE
  • CLIA Number: 23D2309622
  • Address: 2665 ELIZABETH LAKE RD
    WATERFORD, MI
    ZIP 48328
  • Phone: (248) 685-9541

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NPI Details

CORY J RUBIN MD PC is a clinical and laboratory dermatological immunology dermatology in Waterford, MI. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. CORY J RUBIN MD PC NPI is 1518513902. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Michigan Dermatology Institute.

The provider's business location address is:

2665 ELIZABETH LAKE RD
WATERFORD, MI
ZIP 48328-277
Phone: (248) 685-9541
Fax: (248) 681-9581

The provider's authorized official is Cory Joshua Rubin .
The authorized official title is Owner and has the following contact phone number (248) 681-9541.

The CLIA number assigned to this NPI record is 23D2309622 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2019 and was last updated on 8/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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