Russell S Derhak (NPI# 1194856583, PAC ID# 7810092483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1194856583 |
| PAC ID by PECOS | 7810092483 |
| Professional Enrollment ID | I20070411000068 |
| Full Name | Russell S Derhak |
| Address |
4630 Oak Grove N Pkwy Brooklyn Park MN 55443-4062 |
| Gender | M |
| Credential | DC |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2005 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4630 Oak Grove N Pkwy, Brooklyn Park, MN 55443-4062 |
| Street Address |
4630 OAK GROVE N PKWY |
| City | BROOKLYN PARK |
| State | MN |
| Zip | 55443-4062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Kent W Svee | Internal Medicine | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Brianna M. Koopman | Nurse Practitioner | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Pamela S Kolacz | Family Medicine | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Rebecca Rathjen | Clinical Social Worker | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Arvin M Vocal | Internal Medicine | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Melissa A Gulden | Nurse Practitioner | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Holly M Bieda | Optometry | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Amanda J Dubuque | Nurse Practitioner | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Mousumi Kundu | Family Medicine | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Find all physicians in zip 55443 | |||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BROOKLYN PARK + CHIROPRACTIC |
Please comment or provide details below to improve the information on Russell S Derhak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.