Walter  G  Rusyniak  Jr  MD
Contract Details
USA Health System
Facility name
Provider ID
P000001520
NPI
1518968817
Tax ID
630725648
Effective Date
9/25/2005
Last Updated
6/10/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3 Mobile Infirmary Circle Suite 312
Mobile, AL 36607
United States
County
Mobile
Phone
2516658290 (Phone)
Billing Details
Address
P.O. Box 40480
Mobile, AL 36604
Specialty Type
Surgery, Neurological
Map
Address