Individual
MS. HEATHER LEA RUSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-5000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12946
ND
207R00000X
Internal Medicine Physician
9407562
KS
363L00000X
Nurse Practitioner
R27665
ND
Other
Enumeration date
10/13/2006
Last updated
03/01/2019
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