Individual
DR. ANTHONY C RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1852 W GRAND BLVD, 1852 W. GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-4444
(313) 894-1291
Mailing address
1852 W GRAND BLVD, 1852 W. GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-4444
(313) 894-1291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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