Individual
DR. ALEXANDER P RUSANOWSKY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1200341
KS
208600000X
Surgery Physician
589
CO
Other
Enumeration date
06/01/2006
Last updated
09/29/2008
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