Konstantin I Rusin in Jackson - Specialist
Konstantin I Rusin - NPI 1598706392
Konstantin I Rusin is a Specialist in Jackson, Michigan. Konstantin I Rusin practices all healthcare services and medical treatments related to Specialist. The NPI Number for Konstantin I Rusin is 1598706392. The last update date is 2007-07-08.
Konstantin I Rusin's current location address is 744 W Michigan Ave, Jackson, Michigan. You can contact this provider via phone number 5177876440 and fax number 5177874146. The mailing address for Konstantin I Rusin is 744 W Michigan Ave, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Konstantin I Rusin |
|---|---|
| Address | 744 W Michigan Ave, Jackson, Michigan |
| Phone Number | 5177876440 |
| Fax Number | 5177874146 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598706392 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 744 W Michigan Ave |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492011909 |
| Phone Number | 5177876440 |
| Fax Number | 5177874146 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4301071917 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code assigned to Konstantin I Rusin by the Centers for Medicare & Medicaid Services?
The Konstantin I Rusin has been issued the NPI (National Provider Identifier) 1598706392, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Konstantin I Rusin is physically located?
The Konstantin I Rusin is physically situated at the following address: 744 W Michigan Ave, Jackson, MI, 492011909.
What is the Konstantin I Rusin's area of specialization and corresponding taxonomy classification?
The Konstantin I Rusin's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1598706392 to Konstantin I Rusin?
The Konstantin I Rusin received its 1598706392 assignment from the Centers for Medicare & Medicaid Services on 2006-06-10.
When was the information regarding Konstantin I Rusin most recently updated?
The details pertaining to the Konstantin I Rusin, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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