Organization · Type 2 NPI

Andrew L Rust Optometrist SC

Primary Care Clinic/Center · Plover, WI

NPI number 1164655882 Active

Practice location

250 Crossroads Dr
Plover, WI 54467-4124

Call (715) 345-9588 Map

Mailing address

1510 Ashwood Dr
Plover, WI 54467-2466

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X2810 (WI)

Primary Care Clinic/Center: Definition to come...

10 other providers at this address

About NPI 1164655882

Andrew L Rust Optometrist SC's National Provider Identifier is 1164655882, issued on Aug 27, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Plover, WI. The record was last updated on Aug 27, 2009.