Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.121357 | OH |
N | 208000000X | Pediatrician | 43011112231 | MI |
Y | 2080P0214X | Pediatric Pulmonologist | 35121357 | OH |
N | 2080P0214X | Pediatric Pulmonologist | 4301112231 | MI |
NPI | 1225349236 |
---|---|
Provider Name | Dr. Geoffrey Walter Rulong |
First Address | Toledo, OH 43606-3895 |
Second Address | Toledo, OH 43606-3895 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2010 |
Last Update Date | 22/10/2019 |