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Individual
EILEEN MEI RUSSELL
Active
Individual
EILEEN MEI RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29201
MN
207R00000X
Internal Medicine Physician
65921
MN
208M00000X
Hospitalist Physician
Primary
65921
MN
Other
Enumeration date
03/23/2018
Last updated
06/24/2021
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