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Organization

RUSH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM L. RUSH PHD (PRESIDENT)
(612) 275-2455
Entity
Organization

Contact information

Practice address
1751 TOWER DR W STE 200, STILLWATER, MN 55082-7596
(651) 439-2059
(888) 675-8262
Mailing address
588 101ST AVE N, NAPLES, FL 34108-3201
(651) 439-2059
(888) 675-8262

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP 4721
MN
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801942040
NPI
Enumeration date
01/27/2007
Last updated
11/05/2020
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