Individual provider · Type 1 NPI

Brad William Ruetenik, D.P.M.

Foot & Ankle Surgery Podiatrist · Encinitas, CA

NPI number 1093706590 Active

Practice location

1011 Devonshire Dr, Suite F
Encinitas, CA 92024-5136

Call (760) 753-1804 Map

Fax (760) 942-1890

Mailing address

249 S Highway 101, Suite 408
Solana Beach, CA 92075-1807

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine Podiatrist 213ES0000XE3866 (CA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE3866 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1093706590

Brad William Ruetenik, D.P.M.'s National Provider Identifier is 1093706590, issued on Nov 2, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Encinitas, CA. The record was last updated on Oct 5, 2011.