1619948098

Everything you always wanted to know about BANDSTRA EVAN RUSSELL M.D. but were afraid to ask.

BANDSTRA EVAN RUSSELL M.D.

You can also download the this 1619948098 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
BANDSTRA EVAN RUSSELL M.D.
Gender:
Male
Enumeration date:
2006-02-01
Last update date:
2007-11-19
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
208800000X Urology IA 28246 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6412364323
Practice Location Address Telephone Number 6412364323
Mailing Address Fax Number 6412363411
Practice Location Address Fax Number 6412363411

Addresses

Type Address City State Postal Country
Mailing Address 122 4TH AVE GRINNELL IA 0 IA
Practice Location Address 122 4TH AVE GRINNELL IA 0 IA

Other NPI Records that share a phone number

NPI Name Address State City
1033183884 SURGICAL ASSOCIATES, LLP
Organization
122 4TH AVE IA GRINNELL
1215191523 SEVERIDT, MATHEW
Individual
122 4TH AVE IA GRINNELL
1265692651 PHELPS, JARROD
Individual
122 4TH AVE IA GRINNELL
1538134275 SUNDBERG, STEPHEN
Individual
122 4TH AVE IA GRINNELL
1588651129 NOUN, STEFANIE
Individual
122 4TH AVE IA GRINNELL
1780655191 COSTER, DAVID
Individual
122 4TH AVE IA GRINNELL
1871614149 SMITH, AARON
Individual
122 4TH AVE IA GRINNELL
1972517852 KUIPER, NICHOLAS
Individual
122 4TH AVE IA GRINNELL

Other NPI Records that share an address

NPI Name Address State City
1033183884 SURGICAL ASSOCIATES, LLP
Organization
122 4TH AVE IA GRINNELL
1215191523 SEVERIDT, MATHEW
Individual
122 4TH AVE IA GRINNELL
1265692651 PHELPS, JARROD
Individual
122 4TH AVE IA GRINNELL
1538134275 SUNDBERG, STEPHEN
Individual
122 4TH AVE IA GRINNELL
1588651129 NOUN, STEFANIE
Individual
122 4TH AVE IA GRINNELL
1780655191 COSTER, DAVID
Individual
122 4TH AVE IA GRINNELL
1871614149 SMITH, AARON
Individual
122 4TH AVE IA GRINNELL
1972517852 KUIPER, NICHOLAS
Individual
122 4TH AVE IA GRINNELL