Mcdaniel, Russell

Mcdaniel, Russell is an individual health care provider with primary practice located at 1035 E Wilcox Ave , White Cloud MI 49349-8794. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcdaniel, Russell can be contacted via phone (231) 689-5943.

Contact Information

Primary practice address
1035 E Wilcox Ave White Cloud MI 49349-8794
Phone: (231) 689-5943
Fax: (231) 689-1590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007005 Michigan

Profile Details

NPI number 1417377953
LBN Legal business name Mcdaniel, Russell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2014
Last updated Oct 18th, 2021 - about 5 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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