Individual provider · Type 1 NPI

Corbin Rusteberg

Student in an Organized Health Care Education/Training Program · Charlotte, NC

NPI number 1043846348 Active

Practice location

1000 Blythe Blvd
Charlotte, NC 28203-5812

Fax (704) 355-8856

Mailing address

419 Grand Blvd
Park Ridge, IL 60068-3432

Other practice locations

  • 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 · (847) 494-8006

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043846348

Corbin Rusteberg's National Provider Identifier is 1043846348, issued on Mar 18, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 30, 2020.