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1619948098
RUSSELL EVAN BANDSTRA
PELLA, IA
NPI
1619948098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IA 28246)
Enumeration Date
2006-02-01
Last Update Date
2021-07-01
Business Address
RUSSELL EVAN BANDSTRA M.D.
405 MONROE ST
PELLA, IA 50219-1189
Phone number: 641-621-2383
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Mailing Address
RUSSELL EVAN BANDSTRA M.D.
405 MONROE ST
PELLA, IA 50219-1290
Phone number: 641-621-2383
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