Dale R Rustad is a Pediatrics in Green Bay, Wisconsin. Dale R Rustad practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dale R Rustad is 1780617720. The last update date is 2008-08-13.
Dale R Rustad's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700 and fax number 9204311970. The mailing address for Dale R Rustad is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale R Rustad |
|---|---|
| Address | Po Box 19070, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | 9204311970 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780617720 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2008-08-13 |
Provider Mailing Address Detail
| Address | Po Box 19070 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079070 |
| Phone Number | 9204964700 |
| Fax Number | 9204311970 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 35465 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32064000 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dale R Rustad by the Centers for Medicare & Medicaid Services (CMS)?
The Dale R Rustad has been assigned the NPI (National Provider Identifier) 1780617720. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Dale R Rustad's physical address?
The Dale R Rustad is physically located at Po Box 19070, in the city of Green Bay, WI, with the postal code 543079070.
What is Dale R Rustad's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dale R Rustad is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
When did the Dale R Rustad receive its 1780617720?
The Dale R Rustad was issued its 1780617720 on 2006-07-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Dale R Rustad most recently updated or revised?
The information pertaining to Dale R Rustad, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-13.
NPI Number: 1447253067
Address: 2115 N Kansas Ave Ste 105, Hastings, NE
NPI Number: 1306849773
Address: 3200 Ponce De Leon Blvd, Coral Gables, FL
NPI Number: 1053315846
Address: 1455 E Bert Kouns Loop, Shreveport, LA
NPI Number: 1164426896
Address: 600 Grant Street, Us Steel Tower, 59th Floor, Pittsburgh, PA