DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RUPERTO DIVINO BLANCO JR., MD

Active

DR. RUPERTO DIVINO BLANCO JR., MD is a Family Medicine healthcare provider located in WYOMING, Michigan. NPI 1790736643 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WYOMING, MI

Registration Details

NPI Number
1790736643
Provider Type
Individual
Gender
Male
NPI Issued
May 15, 2006 (20.066070159404 yrs)
Last Updated
Feb 13, 2020
License
4301076807 (MI)

Practice Information

Address
5838 METRO WAY SW
WYOMING, MI, 495199619
Browse MI providers · Browse ZIP 49519
Phone
6162495300
Fax
6162495410
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WYOMING, MI

Name Credential NPI
MICHAEL J BULTJE DO 1144224882
DR. DAVID CARL KIRCHINGER M.D. 1952301269
JOHN W HAMERSMA M.D. 1033108329
FRANK E BELSITO D.O. 1861455776
SCOTT A JOHNSON D.O. 1396709648
LANCE M OWENS D.O. 1548224728
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.