Midkiff, Russell B

Midkiff, Russell B is an individual health care provider with primary practice located at 620 W Edison Rd Suite 110, Mishawaka IN 46545-2784. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Midkiff, Russell B can be contacted via phone (574) 258-1100.

Contact Information

Primary practice address
620 W Edison Rd Suite 110 Mishawaka IN 46545-2784
Fax: (574) 258-1101
Website:

Profile Details

NPI number 1346235827
LBN Legal business name Midkiff, Russell B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated May 16th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346235827 NPPES
Indiana MEDICAID 200129800

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