Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 01048956 | IN |
NPI | 1134202880 |
---|---|
Provider Name | William Parker Rusche |
First Address | Bloomington, IN 47401-2426 |
Second Address | Bloomington, IN 47401-2426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 09/03/2015 |