NPI | 1710013719 |
---|---|
Other Name | RUSSELL R VAN HEMERT |
Entity Type | Organization |
Authorized Contact | RUSSELL R VAN HEMERT Owner 641-628-2099 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IA 04934) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A076744) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2008-04-16 |