Organization
RUSSEL BRUBAKER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ALEXANDER (BILLING MANAGER)
(616) 735-1505
Entity
Organization
Contact information
Practice address
11751 RURAL ACRES DR SE, ALTO, MI 49302-9577
(616) 868-7115
Mailing address
PO BOX 140241, GRAND RAPIDS, MI 49514-0241
(616) 868-7115
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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