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
Provider Name :Dale R Rustad
Credential :MD
Gender :Male
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
Phone Number :920-496-4700
Fax Number :920-431-1970
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
NPI Entity Type : Individual
First Enrolment Date : 09 Jul, 2006
Last Updated On : 13 Aug, 2008
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 SpecialityPrimaryLicense No.State
208000000XPediatricsYes35465WI
Legacy Identifiers:
Other legacy medical identifiers of Dale R Rustad such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
32064000MEDICAIDWI
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
Phone Number :920-496-4700
Fax Number :920-431-1970
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.