Bandstra, Russell Evan
Bandstra, Russell Evan is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bandstra, Russell Evan can be contacted via phone (641) 621-2383.Contact Information
Primary practice address
405 Monroe St
Pella IA 50219-1189
Phone: (641) 621-2383
Fax: (641) 621-2632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 28246 | Iowa |
Profile Details
| NPI number | 1619948098 |
|---|---|
| LBN Legal business name | Bandstra, Russell Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jul 1st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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