DR. Andrew Lee Rust, O.D.

NPI #1891802005 in Plover, Wisconsin

Provider Information

NPI Number: 1891802005
Entity Type: Individual
Name: DR. Andrew Lee Rust, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 250 CROSSROADS DR
City: Plover
State: Wisconsin
ZIP Code: 54467-4124
Phone: (715) 345-9588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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