Individual
MARY C RUSNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2102
Mailing address
14543 COTSWOLD LN, CARMEL, IN 46033-9182
(317) 581-8909
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28095026A
IN
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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