Individual
MICHELE G RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
8288
NH
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
8288
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103702Y0NH01
ANTHEM
NH
01
—
111497
HARVARD PILGRIM HLTHCARE
NH
01
—
2796788
CIGNA
NH
05
—
300003477
—
NH
01
—
3412726
AETNA
NH
01
—
4145461
MVP
NH
Enumeration date
01/30/2006
Last updated
04/10/2018
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