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1871562967
RUSSELL S VANDERWILDE
SPOKANE, WA
NPI
1871562967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WA md00030742)
Enumeration Date
2006-03-14
Last Update Date
2008-03-11
Business Address
-- RUSSELL S VANDERWILDE M.D.
601 W 5TH AVE SUITE 400
SPOKANE, WA 99204-2715
Phone number: 509-344-2663
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Mailing Address
-- RUSSELL S VANDERWILDE M.D.
601 W 5TH AVE SUITE 400
SPOKANE, WA 99204-2715
Phone number: 509-344-2663
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