Individual
RUSSELL LOWELL HIBBARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
218 W WALNUT ST, KALAMAZOO, MI 49007-5131
(269) 344-7997
Mailing address
2744 W AB AVE, PLAINWELL, MI 49080-9641
(269) 685-2268
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301027773
MI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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