Individual
SEAN MICHAEL RUTSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9850 W ST LUKES DR STE 290, NAMPA, ID 83687-7912
(208) 463-7300
(208) 463-7301
Mailing address
9850 W ST LUKES DR STE 290, NAMPA, ID 83687-7912
(208) 463-7300
(208) 463-7301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-1395
ID
Other
Enumeration date
04/10/2017
Last updated
07/07/2020
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