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WALTER MIECZYSLAW RUSIN MEDICAL STUDENT
NPI 1376145615
Student in an Organized Health Care Education/Training Program in Stillwater, OK

Active since November 11, 2020
4711 W MEADOW AVE, STILLWATER, OK 74074(612) 245-3813 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Walter Mieczyslaw Rusin Medical Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER MIECZYSLAW RUSIN MEDICAL STUDENT (NPI 1376145615) is an individual student in an organized health care education/training program in Stillwater, Oklahoma and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1376145615
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWALTER MIECZYSLAW RUSINCredential: MEDICAL STUDENT
Location Address4711 W MEADOW AVEStillwater, OK 74074-1169
Mailing Address4711 W Meadow AveStillwater, OK 74074-1169 · (612) 245-3813
Phone(612) 245-3813
Sole ProprietorNo
Enumeration DateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
✔ NPI 1376145615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
4711 W MEADOW AVE, Stillwater, OK 74074
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Rusin's NPI number?

The NPI number for Walter Rusin is 1376145615. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Walter Rusin located?

Walter Rusin practices at 4711 W Meadow Ave, Stillwater, OK 74074. The listed phone number is (612) 245-3813.

What is Walter Rusin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Walter Rusin was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.