Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dale R Rustad, MD

Individual provider Pediatrics Physician · NPI 1780617720

Dale R Rustad, MD is a Pediatrics Physician in De Pere, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3860 Monroe Rd
De Pere, WI 54115-8399
Phone: (920) 496-4700
Fax: (920) 431-1970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35465 (WI)

Record details

NPI number1780617720
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESAugust 13, 2008

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