Provider Demographics
NPI:1033144977
Name:RUST, MERLE S (MD)
Entity Type:Individual
Prefix:DR
First Name:MERLE
Middle Name:S
Last Name:RUST
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 MINERAL POINT AVE
Mailing Address - Street 2:MERCY WEST NEUROSURGERY
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53548-2940
Mailing Address - Country:US
Mailing Address - Phone:608-756-6826
Mailing Address - Fax:608-756-6291
Practice Address - Street 1:1000 MINERAL POINT AVE
Practice Address - Street 2:MERCY WEST NEUROSURGERY
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-2940
Practice Address - Country:US
Practice Address - Phone:608-756-6826
Practice Address - Fax:608-756-6291
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-08-29
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Provider Licenses
StateLicense IDTaxonomies
WIWI50768207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G76944Medicare UPIN