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

Spencer Louis Rusin, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1710278007

Spencer Louis Rusin, MD is a Pathology in West Allis, Wisconsin. Qualified in 2011, 15 years ago. Practices with Great Lakes Pathologists SC, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia and Wisconsin.

Years since qualifying
15
Licensed in
VA, WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone: (414) 328-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1602 Skipwith Rd, Richmond, VA 23229-5205 — (804) 289-4500

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 75333-20 (WI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 0101260209 (VA)

Record details

NPI number1710278007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2011
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Great Lakes Pathologists Sc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in West Allis