Individual
DR. EVAN MICHAEL RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2255 N WICKHAM RD, SUITE 109, MELBOURNE, FL 32935-8012
(321) 253-8511
(321) 253-8711
Mailing address
2255 N WICKHAM RD, SUITE 109, MELBOURNE, FL 32935-8012
(321) 253-8511
(321) 253-8711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10891
FL
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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