RUSSELL JAMES NIFFENEGGER

GRAND FORKS, ND
NPI1659154706
Former NameRUSSELL MILTON WILLIS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: ND  R42886)
Enumeration Date2023-08-14
Last Update Date2024-03-28
Business Address
RUSSELL JAMES NIFFENEGGER NP
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201-5895
Phone number: 701-516-4637
Mailing Address
RUSSELL JAMES NIFFENEGGER NP
1079 DEER TRAIL LN NE
THOMPSON, ND 58278-9400
Phone number: 701-740-9272
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