Dale R Rustad
MD | Pediatrics | Male
Dale R Rustad, MD is a De Pere, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dale R Rustad is
3860 Monroe Rd, De Pere, Wisconsin - 54115-8399. He can be contacted on phone at
920-496-4700 and fax number 920-431-1970.
Dale R Rustad is a sole proprietor of his business.
NPI number (Unique professional ID) for Dale R Rustad is
1780617720 which was assigned by NPPES on 09 Jul, 2006 and it was last updated on 13 Aug, 2008.
Dale R Rustad license number is
35465 for Pediatrics (208000000X) in Wisconsin.
Dale R Rustad is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dale R Rustad basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dale R Rustad |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dale R Rustad address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3860 Monroe Rd
De Pere, WI, 54115-8399
United States |
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| Phone Number : | 920-496-4700 |
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| Fax Number : | 920-431-1970 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780617720 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jul, 2006 |
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| Last Updated On : | 13 Aug, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dale R Rustad are as mentioned. Primary taxonomy code for Dale R Rustad, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35465 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dale R Rustad such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 32064000 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 19070, Prevea Health
Green Bay, WI, 54307-9070
United States |
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| Phone Number : | 920-496-4700 |
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| Fax Number : | 920-431-1970 |
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Business Location:
Patients can refer following map for directions to
Dale R Rustad practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.