Individual
MR. RUSTIN DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.C.E.P.
Contact information
Practice address
1932 TRENT WAY, SOUTH BEND, IN 46614-2245
(574) 904-9828
Mailing address
1932 TRENT WAY, SOUTH BEND, IN 46614-2245
(574) 904-9828
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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