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Russell Kerschmann, MD
Specialist in San Jose, California
NPI 1073686572

Russell Kerschmann is a Specialist based in Redwood City, CA. Russell Kerschmann practices in San Jose, CA and has the professional credentials of MD. The NPI Number for Russell Kerschmann is 1073686572 and holds a License No. A57159 (California).

The current practice location address for Russell Kerschmann is 967 Mabury Rd, San Jose, CA and can be reached out via phone at 800-288-8008 and via fax at 408-975-1030.

Location: 967 Mabury Rd, San Jose, CA, 94062-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073686572
Provider Name
Russell Kerschmann
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
967 Mabury Rd, San Jose, CA, 94062-0000
Phone Number
800-288-8008
Fax Number
408-975-1030
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G57159 01 CA CA STATE LICENSE
BJ422Y 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
967 Mabury Rd
City
San Jose
State
California
Zip
95133-1025
Phone Number
800-288-8008
Fax Number
408-975-1030
person
Provider Business Mailing Address Details
Address
967 Mabury Rd
City
San Jose
State
California
Zip
95133-1025
Phone Number
800-288-8008
Fax Number
408-975-1030
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A57159 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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