Russell J Anderson in Ithaca - Family Medicine
Russell J Anderson - NPI 1972578862
Russell J Anderson is a Family Medicine in Ithaca, Michigan. Russell J Anderson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Russell J Anderson is 1972578862. The last update date is 2009-12-03.
Russell J Anderson's current location address is 114 N Main St, Ithaca, Michigan. You can contact this provider via phone number 9898754166 and fax number 9898753600. The mailing address for Russell J Anderson is 114 N Main St, Ithaca, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell J Anderson |
|---|---|
| Address | 114 N Main St, Ithaca, Michigan |
| Phone Number | 9898754166 |
| Fax Number | 9898753600 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1972578862 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2009-12-03 |
Provider Mailing Address Detail
| Address | 114 N Main St |
|---|---|
| City | Ithaca |
| State | Michigan (MI) |
| Post Code | 48847 |
| Phone Number | 9898754166 |
| Fax Number | 9898753600 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101014069 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80138916 | MI | RAILROAD MEDICARE PTAN | |
| 3479525 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Russell J Anderson by the Centers for Medicare & Medicaid Services?
The Russell J Anderson has been assigned the NPI (National Provider Identifier) 1972578862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Russell J Anderson is physically located?
The Russell J Anderson is physically situated at the following address: 114 N Main St, Ithaca, MI, 48847.
What is Russell J Anderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Russell J Anderson is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972578862 to Russell J Anderson?
The Russell J Anderson received its 1972578862 assignment from the Centers for Medicare & Medicaid Services on 2006-02-22.
When was the information pertaining to Russell J Anderson most recently updated or revised?
The details related to Russell J Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-03.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI