Individual
CATHLEEN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-5503
(956) 362-5100
Mailing address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301505087
MI
Other
Enumeration date
10/25/2012
Last updated
09/07/2021
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