Russell Devolder

NPI 1972817013 · on the registry since 2010

Practice

Address: 425 7th St Nw
Cass Lake, MN 56633
Phone: (218) 335-3267
Organisation at this address: Cass Lake Indian Hospital
Cass Lake Indian Hospital Pharmacy
Department Of Human Services &Phs, Ihs
Department Of Human Services & Phs, Ihs
Department Of Health & Human Services Phs Ihs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 106

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota