Individual
RUBY LEIGH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8450 SEASONS PKWY, WOODBURY, MN 55125-4402
(651) 702-5300
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
73846
MN
Other
Enumeration date
04/10/2019
Last updated
08/17/2023
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