Individual
DR. RUSSELL MARC NORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38690 STIVERS ST, SUITE A, FREMONT, CA 94536-5279
(510) 248-1040
(510) 797-7426
Mailing address
38690 STIVERS ST STE A, FREMONT, CA 94536-5276
(510) 248-1040
(510) 797-7426
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A103896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51941
—
CA
Enumeration date
06/23/2007
Last updated
04/18/2019
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