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Individual
WALTER CLIFFORD RUSTMANN
Active
Individual
WALTER CLIFFORD RUSTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS13675
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS13675
FL
207RP1001X
Pulmonary Disease Physician
M0250
TX
207RP1001X
Pulmonary Disease Physician
OS13675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016163500
—
FL
01
—
C8Z9V
BCBSFL
FL
Enumeration date
12/22/2005
Last updated
01/16/2017
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