Russell S Derhak in Brooklyn Park - Chiropractor
Russell S Derhak - NPI 1194856583
Russell S Derhak is a Chiropractor in Brooklyn Park, Minnesota. Russell S Derhak practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Russell S Derhak is 1194856583. The last update date is 2007-07-08.
Russell S Derhak's current location address is 4630 97th Ave N, Brooklyn Park, Minnesota. You can contact this provider via phone number 7634863945 and fax number 7634252417. The mailing address for Russell S Derhak is 4630 97th Ave N, Brooklyn Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell S Derhak |
|---|---|
| Address | 4630 97th Ave N, Brooklyn Park, Minnesota |
| Phone Number | 7634863945 |
| Fax Number | 7634252417 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1194856583 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4630 97th Ave N |
|---|---|
| City | Brooklyn Park |
| State | Minnesota (MN) |
| Post Code | 554434027 |
| Phone Number | 7634863945 |
| Fax Number | 7634252417 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4717 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the Russell S Derhak's 1194856583?
The Russell S Derhak's NPI (National Provider Identifier) Number is 1194856583. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Russell S Derhak is physically located?
The Russell S Derhak is physically situated at the following address: 4630 97Th Ave N, Brooklyn Park, MN, 554434027.
What is Russell S Derhak's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Russell S Derhak is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194856583 to Russell S Derhak?
The Centers for Medicare & Medicaid Services originally issued the 1194856583 to Russell S Derhak on 2007-03-08.
When was the information regarding Russell S Derhak most recently updated?
The details pertaining to the Russell S Derhak, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.