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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306819073 NPPES
Minnesota MEDICAID 353697100

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