Individual
RUSSELL EVAN BANDSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 621-2383
(641) 621-2632
Mailing address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2383
(641) 621-2632
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
28246
IA
Other
Enumeration date
02/01/2006
Last updated
07/01/2021
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