Andrew L Rust Optometrist Sc

NPI 1164655882 - Clinic/Center - 261QP2300X

NPI Details
NPI 1164655882
Enumeration Date 08/27/2009
Last Updated 08/27/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ANDREW ANDREW
Position OWNER/PRESIDENT
Phone (715) 345-9588
Fax
Practice Location
250 CROSSROADS DR
PLOVER WI, 54467-4124, US
Phone (715) 345-9588
Fax
Business Location
1510 ASHWOOD DR
PLOVER WI, 54467-2466, US
Phone
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Wisconsin
License Number 2810
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According to our database, Andrew L Rust Optometrist Sc NPI is 1164655882, taxonomy code is 261QP2300X and license number is 2810, license state is located at Wisconsin. Andrew L Rust Optometrist Sc physically located at 250 Crossroads Dr, Plover WI, 54467-4124. NPI Number 1033115704 has the healthcare provider type.

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1164655882 NPI number is provided on an as is basis without warranty of any kind. 1164655882 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew L Rust Optometrist Sc are for informational purposes only.