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Individual
DR. RUSSELL G BENUCK
Active
Individual
DR. RUSSELL G BENUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-135891
IL
207X00000X
Orthopaedic Surgery Physician
A126157
CA
207X00000X
Orthopaedic Surgery Physician
BS9426277-7905
MI
Other
Enumeration date
06/07/2010
Last updated
07/21/2022
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