DANIEL E RUSYNIAK

INDIANAPOLIS, IN
NPI1841309739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  01047125A)
Additional Taxonomies207PT0002X Emergency Medicine, Medical Toxicology
(Licence: IN  01047125A)
Enumeration Date2006-08-30
Last Update Date2021-02-04
Business Address
DANIEL E RUSYNIAK MD
1001 W 10TH ST
INDIANAPOLIS, IN 46202-2859
Phone number: 317-630-7276
Mailing Address
DANIEL E RUSYNIAK MD
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: