Dr JAY T RUST JR. is a male medical professional, specializing in Physician Assistant. He graduated in 2007.
THEDACARE INCORPORATED
425 2ND ST
MANAWA
WI
549499279
Tel: 9205963435
| Npi | 1710185186 |
| Pac Id | 2163514191 |
| Professional Enrollment Id | I20070822001310 |
| Last Name | RUST |
| First Name | JAY |
| Middle Name | T |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | THEDACARE INCORPORATED |
| Group Practice Pac Id | 1759294887 |
| Number Of Group Practice Members | 478 |
| Line 1 Street Address | 425 2ND ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MANAWA |
| State | WI |
| Zip Code | 549499279 |
| Phone Number | 9205963435 |
| Hospital Affiliation Ccn 1 | 521326 |
| Hospital Affiliation Lbn 1 | NEW LONDON FAMILY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 520045 |
| Hospital Affiliation Lbn 2 | THEDA CLARK MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 521334 |
| Hospital Affiliation Lbn 3 | RIVERSIDE MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 520160 |
| Hospital Affiliation Lbn 4 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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