Organization
ANDREW L RUST OPTOMETRIST SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW RUST O.D. (OWNER/PRESIDENT)
(715) 341-3318
Entity
Organization
Contact information
Practice address
250 CROSSROADS DR, PLOVER, WI 54467-4124
(715) 345-9588
Mailing address
1510 ASHWOOD DR, PLOVER, WI 54467-2466
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2810
WI
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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