Individual
DR. RUSTAN JOEL VAN WYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
275 BETHESDA DR, GREENVILLE, NC 27834-7217
(252) 752-5077
Mailing address
275 BETHESDA DR, GREENVILLE, NC 27834-7217
(252) 752-5077
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
200001545
NC
208800000X
Urology Physician
DO0000002787
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861474439
—
NC
05
—
Q013975
—
TN
Enumeration date
11/18/2005
Last updated
11/18/2025
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