Individual
JOHN RUSSELL LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4650
(715) 858-4511
Mailing address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4650
(715) 858-4511
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22441
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064237001
MEDICARE DME
—
05
—
30283000
—
WI
01
—
41708100
MEDICAID DME
WI
Enumeration date
05/23/2006
Last updated
06/06/2011
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