Individual
DR. THOMAS MORISON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-7502
(608) 662-3054
Mailing address
6930 N FOX POINT DR, PEORIA, IL 61614-2230
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125.068607
IL
207T00000X
Neurological Surgery Physician
Primary
81336
WI
Other
Enumeration date
06/13/2016
Last updated
07/19/2024
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