Individual
MICHELLE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 JOHNSON AVE, STRYKER, OH 43557-7728
(419) 553-7284
Mailing address
103 JOHNSON AVE, STRYKER, OH 43557-7728
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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