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1336101005
DOUGLAS WILLIAM RUSNACK
COEUR D ALENE, ID
NPI
1336101005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M9059)
Enumeration Date
2006-04-06
Last Update Date
2009-05-27
Business Address
-- DOUGLAS WILLIAM RUSNACK MD
601 FRONT AVENUE SUITE #502
COEUR D ALENE, ID 83814
Phone number: 208-415-0524
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Mailing Address
-- DOUGLAS WILLIAM RUSNACK MD
601 FRONT AVENUE SUITE #502
COEUR D ALENE, ID 83814
Phone number: 208-415-0524
Copy
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