Dale R Rustad MD

  • NPI 1780617720
According to our database, the NPI number for Dale R Rustad MD is 1780617720 and activated since 17 years ago. Dale R Rustad MD is an individual provider who specializes in Pediatrics, and the primary practice location is 3860 Monroe Rd, De Pere, WI 54115. You can also contact Dale R Rustad MD via telephone number is (920) 496-4700. Provider NPI information was last updated on 08/13/2008.

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Overview of Dale R Rustad MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/09/2006
  • Last updated: 08/13/2008

Primary Scrop of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 35465
  • License State: WI

Provider Mailing Address

  • Address: Po Box 19070
    Prevea Health
    Green Bay, WI 54307
  • Phone: 920-496-4700
  • Fax: 920-431-1970

Provider Practice Location

  • Address: 3860 Monroe Rd
    De Pere, WI 54115
  • Phone: 920-496-4700
  • Fax: 920-431-1970

Scope of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 35465
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 32064000
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dale R Rustad MD?
  • A: The npi number for Dale R Rustad MD is 1780617720.
  • Q: What are Dale R Rustad MD's specialties?
  • A: Dale R Rustad MD's specialties are Pediatrics and different specialities.
  • Q: What is the medical license for Dale R Rustad MD?
  • A: The medical license number for Dale R Rustad MD is 35465 and issued in WI in USA.
  • Q: Where is Dale R Rustad MD practice location?
  • A: Dale R Rustad MD is practicing at 3860 Monroe Rd, De Pere, WI 54115.
  • Q: How to contact Dale R Rustad MD?
  • A: You can contact Dale R Rustad MD via 920-496-4700.