Individual
RUSSELL THOMAS BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
241 WRIGHT ST, MARQUETTE, MI 49855-1955
(906) 228-7611
(906) 228-8156
Mailing address
97 S 4TH ST STE C, ISHPEMING, MI 49849-2168
(906) 228-9699
(906) 228-0505
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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