Individual
DR. RUSSELL R VANHEMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Contact information
Practice address
1310 WASHINGTON ST, PELLA, IA 50219-1512
(641) 628-2099
(641) 628-2324
Mailing address
PO BOX 26, PELLA, IA 50219-0026
(641) 628-2099
(641) 628-2324
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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