WALTER MIECZYSLAW RUSIN MEDICAL STUDENT NPI 1376145615

NPI Information

Walter Mieczyslaw Rusin, MEDICAL STUDENT is a student in an organized health care education training program in Stillwater, OK. The provider is 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. Walter Mieczyslaw Rusin, MEDICAL STUDENT NPI is 1376145615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4711 W MEADOW AVE
STILLWATER, OK
ZIP 74074-169
Phone: (612) 245-3813

The enumeration date for this NPI number is 11/11/2020 and was last updated on 11/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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