Emily L Russ in Appleton - Physician Assistant

Emily L Russ - NPI 1457436966

Emily L Russ is a Physician Assistant in Appleton, Wisconsin. Emily L Russ practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Emily L Russ is 1457436966. The last update date is 2023-07-14.

Emily L Russ's current location address is 626 E Longview Dr Ste B, Appleton, Wisconsin. You can contact this provider via phone number 9204750333. The mailing address for Emily L Russ is 626 E Longview Dr Ste B, Appleton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Emily L Russ
Address 626 E Longview Dr Ste B, Appleton, Wisconsin
Phone Number 9204750333
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1457436966
Provider Enumeration Date 2006-10-25
Last Updated Date 2023-07-14

Provider Mailing Address Detail

Address 626 E Longview Dr Ste B
City Appleton
State Wisconsin (WI)
Post Code 549112164
Phone Number 9204750333
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4355-23
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Emily L Russ

What is the Emily L Russ's unique identification number?

The Emily L Russ has been assigned the NPI (National Provider Identifier) Number 1457436966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Emily L Russ's facilities are geographically located?

The facilities of Emily L Russ are physically situated at the following location: 626 E Longview Dr Ste B, Appleton, WI, 549112164.

What is Emily L Russ's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Emily L Russ is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1457436966 to Emily L Russ?

The Centers for Medicare & Medicaid Services assigned the 1457436966 to Emily L Russ on 2006-10-25.

As of what date were the Emily L Russ's details last updated?

The information pertaining to the Emily L Russ, including its address, specialty, and other details, was most recently updated on 2023-07-14.

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