NPI 1083608079

Wayne J Rusin, MD

Practitioner Developmental - Behavioral Pediatrics Physician Appleton, WI

Practice location

Address: 1506 S Oneida St, Appleton, WI 54915-1305
Phone: (920) 730-4950

Registered specialties (2)

Developmental - Behavioral Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0006X Licence 31022 (WI)

Other Pediatrics providers in Wisconsin →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 31022 (WI)

Registry record

NPI: 1083608079
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2005
Record last updated: 9 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.