Dale Everette Russell in Ann Arbor - Physician Assistant
Dale Everette Russell - NPI 1184890519
Dale Everette Russell is a Physician Assistant in Ann Arbor, Michigan. Dale Everette Russell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dale Everette Russell is 1184890519. The last update date is 2020-01-14.
Dale Everette Russell's current location address is 4200 Whitehall Dr Ste 150, Ann Arbor, Michigan. You can contact this provider via phone number 7349950308. The mailing address for Dale Everette Russell is 4200 Whitehall Dr Ste 150, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Everette Russell |
|---|---|
| Address | 4200 Whitehall Dr Ste 150, Ann Arbor, Michigan |
| Phone Number | 7349950308 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184890519 |
|---|---|
| Provider Enumeration Date | 2008-05-06 |
| Last Updated Date | 2020-01-14 |
Provider Mailing Address Detail
| Address | 4200 Whitehall Dr Ste 150 |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481059694 |
| Phone Number | 7349950308 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601002145 |
|
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 |
|
Post Comment/ Review Below
What is the Dale Everette Russell's 1184890519?
The Dale Everette Russell's NPI (National Provider Identifier) Number is 1184890519. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dale Everette Russell's facilities are situated?
The facilities of Dale Everette Russell are physically located at the following address: 4200 Whitehall Dr Ste 150, Ann Arbor, MI, 481059694.
What is Dale Everette Russell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dale Everette Russell's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184890519 to Dale Everette Russell?
The Dale Everette Russell received its 1184890519 assignment from the Centers for Medicare & Medicaid Services on 2008-05-06.
As of what date was the information pertaining to Dale Everette Russell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dale Everette Russell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-01-14.