Individual
RUSSELL J BERSCHEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1218 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 540-4140
(931) 540-4143
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 788-8757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28088
TN
Other
Enumeration date
01/16/2007
Last updated
07/25/2019
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