| Doctor Name: | DANIEL JOSEPH RUESGEN |
| NPI Number: | 1053583245 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LADC |
| License Number: | 300857 |
| Business Practice Address: | 802 W 6th St Winthrop, MN - 553962356 |
| Business Phone Number: | 5075590155 |
| Business Fax Number: | |
| Mailing Address: | 112 5th St, P.o. Box 700 GAYLORD |
| State: | MN |
| Postal Code: | 553344463 |
| Phone Number: | 5072372716 |
| Fax Number: | 5072372736 |
| NPI Enumeration Date: | 03/27/2008 |
| NPI Last Update Date: | 03/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 300857 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |