Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIPP EDWARD RUSTENHOLTZ, PA-C
Active Sole ProprietorMR. KIPP EDWARD RUSTENHOLTZ, PA-C is a Physician Assistant healthcare provider located in OKEMOS, Michigan. NPI 1114193356 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OKEMOS, MI
Registration Details
- NPI Number
- 1114193356
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2008 (18.272797239959 yrs)
- Last Updated
- Nov 15, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
3413 WOODS EDGEOKEMOS, MI, 488645901Browse MI providers · Browse ZIP 48864
- Phone
- 5173493303
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in OKEMOS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN J FISCHER | D.C., PA-C | 1649288549 |
| DALE G RUPPRECHT | PA | 1346354958 |
| KATHERINE E YOUNG | PA-C | 1407951015 |
| JESSICA LYNN HILL | PA-C | 1902016181 |
| MR. ADAM FRANCIS MONTERO | PA-C | 1740412055 |
| TROY C THIELEN | PAC | 1720445810 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.