Individual
JEREMY W RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
(715) 803-6977
Mailing address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
(715) 803-6977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
55775
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016494
—
WI
Enumeration date
05/08/2007
Last updated
02/18/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us