Individual
DR. RUSTAN JOEL VAN WYK
Active
Individual
DR. RUSTAN JOEL VAN WYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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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