Timothy Rusthoven DPM

NPI 1972668325 - Podiatrist - 213E00000X

NPI Details
NPI 1972668325
Gender Male
Enumeration Date 12/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2000 LAKE AVE
WOODSTOCK IL, 60098-7401, US
Phone (815) 337-7100
Fax
Business Location
2000 LAKE AVE
WOODSTOCK IL, 60098-7401, US
Phone (815) 337-7100
Fax
Toxanomy
Taxonomy Code 213E00000X
License State Wisconsin
License Number 550
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According to our database, Timothy Rusthoven DPM NPI is 1972668325, taxonomy code is 213E00000X and license number is 550, license state is located at Wisconsin. Timothy Rusthoven DPM physically located at 2000 Lake Ave, Woodstock IL, 60098-7401. NPI Number Timothy Rusthoven DPM has the Individual type.

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1972668325 NPI number is provided on an as is basis without warranty of any kind. 1972668325 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Rusthoven DPM are for informational purposes only.