Individual
SAMUEL DAVID RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2090 WOODWINDS DR STE 200, WOODBURY, MN 55125-2522
(651) 968-5201
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5200
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
69423
MN
207X00000X
Orthopaedic Surgery Physician
MD23695
ME
Other
Enumeration date
04/24/2015
Last updated
08/02/2021
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