Organization
BRAD W. RUETENIK, DPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD W. RUETENIK DPM (PRESIDENT)
(760) 753-1804
Entity
Organization
Contact information
Practice address
1011 DEVONSHIRE DR, SUITE F, ENCINITAS, CA 92024-5136
(760) 753-1804
(760) 942-1895
Mailing address
249 S HIGHWAY 101, SUITE 408, SOLANA BEACH, CA 92075-1807
(760) 753-1804
(760) 942-1895
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E3866
CA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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