Mark Duane Russell in Saint Joseph - Athletic Trainer
Mark Duane Russell - NPI 1306867049
Mark Duane Russell is a Athletic Trainer in Saint Joseph, Michigan. Mark Duane Russell practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Mark Duane Russell is 1306867049. The last update date is 2007-07-08.
Mark Duane Russell's current location address is 3950 Hollywood Rd Ste 140, Saint Joseph, Michigan. You can contact this provider via phone number 2695567150. The mailing address for Mark Duane Russell is 3950 Hollywood Rd Ste 140, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Duane Russell |
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Address | 3950 Hollywood Rd Ste 140, Saint Joseph, Michigan |
Phone Number | 2695567150 |
Fax Number | |
Sole Proprietor | Y |
Credentials | ATC, CSCS |
NPI Number Detail
NPI Number | 1306867049 |
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Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3950 Hollywood Rd Ste 140 |
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City | Saint Joseph |
State | Michigan (MI) |
Post Code | 490859151 |
Phone Number | 2695567150 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Athletic Trainer |
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Taxonomy | 2255A2300X |
Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique identifier code issued to Mark Duane Russell by the Centers for Medicare & Medicaid Services?
The Mark Duane Russell has been assigned the NPI (National Provider Identifier) 1306867049. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Duane Russell is located?
The Mark Duane Russell is situated at the following address: 3950 Hollywood Rd Ste 140, Saint Joseph, MI, 490859151.
What is Mark Duane Russell'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 Mark Duane Russell is Athletic Trainer, and the taxonomy classification code that categorizes this area of expertise is 2255A2300X.
On what date did the Mark Duane Russell receive its 1306867049 assignment from the Centers for Medicare & Medicaid Services?
The Mark Duane Russell was assigned its 1306867049 by the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the information regarding Mark Duane Russell most recently updated?
The details pertaining to the Mark Duane Russell, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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