Individual
MS. DEBORA L. RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
309 PAGE AVE, JACKSON, MI 49201-2419
(517) 787-1234
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 - LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704120666
MI
Other
Enumeration date
02/04/2009
Last updated
07/02/2015
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