DALE R RUSTAD

DE PERE, WI
NPI1780617720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WI  35465)
Enumeration Date2006-07-09
Last Update Date2008-08-13
Business Address
-- DALE R RUSTAD MD
3860 MONROE RD
DE PERE, WI 54115-8399
Phone number: 920-496-4700
Mailing Address
-- DALE R RUSTAD MD
PO BOX 19070 PREVEA HEALTH
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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