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Walter Mieczyslaw Rusin, MEDICALSTUDENT
Student in an Organized Health Care Education/Training Program in Stillwater, Oklahoma
NPI 1376145615

Walter Mieczyslaw Rusin is a Student in an Organized Health Care Education/Training Program based in Stillwater, OK. Walter Mieczyslaw Rusin practices in Stillwater, OK and has the professional credentials of MEDICALSTUDENT. The NPI Number for Walter Mieczyslaw Rusin is 1376145615 and holds a License No. (Oklahoma).

The current practice location address for Walter Mieczyslaw Rusin is 4711 W Meadow Ave, Stillwater, OK and can be reached out via phone at 612-245-3813. You can also correspond with Walter Mieczyslaw Rusin through the mailing address at 4711 W MEADOW AVE, STILLWATER, OK - 74074-1169 (mailing address contact number: 612-245-3813).

Location: 4711 W Meadow Ave, Stillwater, OK, 74074-1169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376145615
Provider Name
Walter Mieczyslaw Rusin
Credential
MEDICALSTUDENT
Provider Entity Type
Individual
Gender
Male
Address
4711 W Meadow Ave, Stillwater, OK, 74074-1169
Phone Number
612-245-3813
Fax Number
Provider Enumeration Date
11/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4711 W Meadow Ave
City
Stillwater
State
Oklahoma
Zip
74074-1169
Phone Number
612-245-3813
Fax Number
person
Provider Business Mailing Address Details
Address
4711 W Meadow Ave
City
Stillwater
State
Oklahoma
Zip
74074-1169
Phone Number
612-245-3813
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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