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Individual

DR. ROBERT MICHAEL RUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3129 N RAINBOW BLVD, LAS VEGAS, NV 89108-4578
(725) 220-8457
(833) 749-0355
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(725) 220-8457
(833) 749-0355

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18194
NV
207R00000X
Internal Medicine Physician
4301068622
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225008501
NV
01
18194
STATE LICENSE
NV
05
4184668
MI
Enumeration date
01/26/2006
Last updated
02/13/2026
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