David H Rustom
Internist Physical Medicine & Rehabilitation Doctor Pain Medicine
261 Mack Ave Ste 188
Detroit
, Michigan 48201-2417
David H Rustom
Internist Physical Medicine & Rehabilitation Doctor Pain Medicine
261 Mack Ave Ste 188
Detroit
, Michigan 48201-2417
(313) 745-1165
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About
Features
Specialties
- Internist
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- David H Rustom
- 261 Mack Ave Suite 188
- Detroit, MI
- Zip : 48201
- Fax : (313) 745-1165
- Phone : (313) 745-4600
Second Address
- David H Rustom
- 261 Mack Ave Ste 188
- Detroit, MI
- Zip : 48201-2417
- Fax : (313) 745-1165
- Phone : (313) 745-4600
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FAQs
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In what state does David H Rustom practice in?
Where is David H Rustom ’s practice located?
What is David H Rustom ’s gender?
Is David H Rustom a sole practitioner?
Is David H Rustom accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301101540 | MI |
| N | 111NI0900X | Internist | 4301101540 | MI |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301101540 | MI |
| Y | 2081P2900X | Pain Medicine | 4301101540 | MI |
National Provider Identifier
| NPI | 1073877320 |
|---|---|
| Provider Name | David H Rustom |
| First Address | Detroit, MI 48201 |
| Second Address | Detroit, MI 48201-2417 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2012 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.