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Individual
RUSSELL MERRITTT HOSTETLER
Active
Individual
RUSSELL MERRITTT HOSTETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20137
MS
207Q00000X
Family Medicine Physician
D0069526
MD
207Q00000X
Family Medicine Physician
MD 30287
SC
207Q00000X
Family Medicine Physician
Primary
ME 60537
FL
Other
Enumeration date
03/31/2012
Last updated
03/07/2023
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