Metcalf, Dan Russell
Metcalf, Dan Russell is an individual health care provider with primary practice located at 1615 Maple Lane , Ashland WI 54806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Metcalf, Dan Russell can be contacted via phone (715) 685-5500.Contact Information
Primary practice address
1615 Maple Lane
Ashland WI 54806
Phone: (715) 685-5500
Fax: (715) 682-4022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 47992 | Minnesota |
Profile Details
| NPI number | 1306819073 |
|---|---|
| LBN Legal business name | Metcalf, Dan Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Mar 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306819073 | NPPES |
| Minnesota | MEDICAID | 353697100 |
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