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Organization
GRANT M RUSIN MD PA
Active
Organization
GRANT M RUSIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT M RUSIN MD (OWNER)
(541) 937-1700
Entity
Organization
Contact information
Practice address
940 COUNTRY CLUB RD, EUGENE, OR 97401-2208
(541) 344-2600
(541) 344-3317
Mailing address
38508 PLACE RD, FALL CREEK, OR 97438-9711
(541) 937-1700
(541) 937-1292
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD22519
OR
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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