| Doctor Name: | RUSSELL JON SWEET |
| NPI Number: | 1811132822 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | HEARING AID SPECIALI |
| License Number: | 0079 |
| Business Practice Address: | 1040 Bridgewater Drive Spirit Lake, IA - 51360 |
| Business Phone Number: | 7123369800 |
| Business Fax Number: | 7123369800 |
| Mailing Address: | Box 505, 1040 Bridgewater Drive SPIRIT LAKE |
| State: | IA |
| Postal Code: | 51360 |
| Phone Number: | 7123369800 |
| Fax Number: | 7123369800 |
| NPI Enumeration Date: | 12/04/2008 |
| NPI Last Update Date: | 01/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | 0079 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Hearing Aid Equipment |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |