Walter Kenneth Rush IV M.D.

NPI 1003907155 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1003907155
Gender Male
Enumeration Date 09/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
275 4TH ST E
SAINT PAUL MN, 55101-1696, US
Phone (651) 389-4690
Fax (651) 389-4691
Business Location
275 4TH ST E
SAINT PAUL MN, 55101-1696, US
Phone (651) 389-4690
Fax (651) 389-4691
Toxanomy
Taxonomy Code 2084P0800X
License State Minnesota
License Number 45379
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According to our database, Dr. Walter Kenneth Rush IV M.D. NPI is 1003907155, taxonomy code is 2084P0800X and license number is 45379, license state is located at Minnesota. Walter Kenneth Rush IV M.D. physically located at 275 4th St E, Saint Paul MN, 55101-1696. NPI Number Walter Kenneth Rush IV M.D. has the Individual type.

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1003907155 NPI number is provided on an as is basis without warranty of any kind. 1003907155 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Kenneth Rush IV M.D. are for informational purposes only.