Individual
DR. BRAD WILLIAM RUETENIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1011 DEVONSHIRE DR, SUITE F, ENCINITAS, CA 92024-5136
(760) 753-1804
(760) 942-1890
Mailing address
249 S HIGHWAY 101, SUITE 408, SOLANA BEACH, CA 92075-1807
(760) 753-1804
(760) 942-1890
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
E3866
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3866
CA
Other
Enumeration date
11/02/2005
Last updated
10/05/2011
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