Individual
DR. RUSSELL G FLERMOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
611 W STATE ST, SUITE B, ST JOHNS, MI 48879-0456
(989) 224-8175
Mailing address
PO BOX 456, 611 W STATE ST SUITE B, ST JOHNS, MI 48879-0456
(989) 224-8175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10942
MI
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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