Individual
MS. EMILY L RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 720-2300
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 723-2300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
121931
IA
363A00000X
Physician Assistant
Primary
4355-23
WI
Other
Enumeration date
10/25/2006
Last updated
02/03/2026
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