Individual
ADAM GREGORY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11 PAGE ST, BROWNVILLE, ME 04414-3523
(207) 943-3097
Mailing address
11 PAGE ST, BROWNVILLE, ME 04414-3523
(207) 943-3097
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA153027
ME
Other
Enumeration date
09/21/2015
Last updated
10/06/2015
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