Individual
DR. CHRISTINA PATRICIA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9875 HOSPITAL DR, MAPLE GROVE, MN 55369-4648
(763) 581-1000
Mailing address
16600 92ND AVE N APT 337, MAPLE GROVE, MN 55311-5455
(612) 867-1689
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56417
MN
Other
Enumeration date
05/11/2010
Last updated
08/27/2013
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