Individual
SHERILYN JOSEPHINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22201 MOROSS RD, SUITE 252, GROSSE POINTE, MI 48236-2169
(313) 343-4411
(313) 343-4412
Mailing address
22201 MOROSS RD, SUITE 252, GROSSE POINTE, MI 48236-2169
(313) 343-4411
(313) 343-4412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301084057
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301084057
MI
208000000X
Pediatrics Physician
4301084057
MI
Other
Enumeration date
05/14/2007
Last updated
12/18/2012
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