Individual
DR. RUSSELL R VANHEMERT
Active
Individual
DR. RUSSELL R VANHEMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
04934
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231951
—
IA
01
—
1710013719
NPI CORPORATION NUMBER
IA
Enumeration date
05/23/2005
Last updated
10/23/2007
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