Individual
BRIANA RUSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2473 MCFARLAND RD, ROCKFORD, IL 61107
(779) 696-9202
Mailing address
PO BOX 7866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085003897
IL
Other
Enumeration date
10/21/2010
Last updated
02/19/2021
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