Individual
DAN RUSSELL METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5500
(715) 682-4022
Mailing address
1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5500
(715) 682-4022
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
47992
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353697100
—
MN
Enumeration date
02/10/2006
Last updated
03/12/2021
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