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 |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543079070 |
Phone Number | 9204964700 |
Fax Number | 9204311970 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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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.
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