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Dale R Rustad, MD
Pediatrics Physician in De Pere, Wisconsin
NPI 1780617720

Dale R Rustad is a Pediatrics Physician based in Green Bay, WI. Dale R Rustad practices in De Pere, WI and has the professional credentials of MD. The NPI Number for Dale R Rustad is 1780617720 and holds a License No. 35465 (Wisconsin).

The current practice location address for Dale R Rustad is 3860 Monroe Rd, De Pere, WI and can be reached out via phone at 920-496-4700 and via fax at 920-431-1970.

Location: 3860 Monroe Rd, De Pere, WI, 54307-9070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780617720
Provider Name
Dale R Rustad
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3860 Monroe Rd, De Pere, WI, 54307-9070
Phone Number
920-496-4700
Fax Number
920-431-1970
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32064000 05 WI
institution
Provider Business Practice Location Address Details
Address
3860 Monroe Rd
City
De Pere
State
Wisconsin
Zip
54115-8399
Phone Number
920-496-4700
Fax Number
920-431-1970
person
Provider Business Mailing Address Details
Address
3860 Monroe Rd
City
De Pere
State
Wisconsin
Zip
54115-8399
Phone Number
920-496-4700
Fax Number
920-431-1970
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
35465 (Wisconsin)
Definition
A pediatrician 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.
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