Provider Demographics
NPI:1184602187
Name:RUBIN, KAROL ROSELYN (MS, CGC)
Entity type:Individual
Prefix:MS
First Name:KAROL
Middle Name:ROSELYN
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W 53RD ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-1224
Mailing Address - Country:US
Mailing Address - Phone:612-625-2472
Mailing Address - Fax:
Practice Address - Street 1:420 DELAWARE ST. SE
Practice Address - Street 2:MMC 485
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:612-625-2472
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS