Individual provider · Type 1 NPI

Jay T. Rust Jr., PA

Physician Assistant · New London, WI

NPI number 1710185186 Active

Practice location

1405 Mill St
New London, WI 54961-2155

Call (920) 531-2400 Map

Fax (920) 531-2463

Mailing address

PO Box 8003
Appleton, WI 54912-8003

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2162-023 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1710185186

Jay T. Rust Jr., PA's National Provider Identifier is 1710185186, issued on Jul 6, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New London, WI. The record was last updated on Jul 8, 2007.