Organization
WABASH VALLEY NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DALE RUSK M.D. (PARTNER)
(812) 232-8292
Entity
Organization
Contact information
Practice address
215 E MCCALLISTER DR, TERRE HAUTE, IN 47802-4248
(812) 232-8292
(812) 232-3440
Mailing address
215 E MCCALLISTER DR, TERRE HAUTE, IN 47802-4248
(812) 232-8292
(812) 232-3440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01039496A
IN
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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