Individual
MICHAEL RUSLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4TH & WALNUT STREETS, GOOD SAMARITAN HOSPITAL, LEBANON, PA 17042-1281
(717) 270-7740
(717) 270-3877
Mailing address
PO BOX 1281, CO GOOD SAMARITAN HOSPITAL, LEBANON, PA 17042-1281
(717) 270-7740
(717) 270-3877
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD024263E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013001910001
—
PA
01
—
01677202
CAPITAL BLUE CROSS
PA
01
—
165657
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/29/2006
Last updated
03/04/2008
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