Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Rutowicz III

Individual provider Pediatrics Physician · NPI 1720658974

Nicholas Rutowicz III is a Pediatric Medicine in Detroit, Michigan. Qualified in 2021, 5 years ago. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021

Practice location Address checks out

3901 Beaubien St
Detroit, MI 48201-2196
Phone: (313) 745-5437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4351048575 (MI)

Record details

NPI number1720658974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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