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Individual

DR. STEPHAN EDWARD RUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39986
TN
2083P0901X
Public Health & General Preventive Medicine Physician
39986
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3334955
TN
Enumeration date
05/18/2006
Last updated
04/25/2025
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