IndividualActive
Douglas Rusnack, MD
NPI 1336101005 · Diagnostic Radiology Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1336101005
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M9059 (ID)
Practice location
601 Front Avenue
Suite #502
Coeur D Alene, ID 83814
Phone: (208) 415-0524
Fax: (208) 763-3644
Mailing address
601 Front Avenue
Coeur D Alene, ID 83814
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2009-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.