Individual
HOWARD L RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N 4TH ST, FARGO, ND 58122-0001
(701) 234-6161
(701) 234-3861
Mailing address
820 N 4TH ST, FARGO, ND 58122-0001
(701) 234-6161
(701) 234-3861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5355
ND
Other
Enumeration date
07/21/2006
Last updated
12/07/2011
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