Individual
RUSSELL HYJEK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN APRN FNP-BC
Contact information
Practice address
944 BALDWIN RD, LAPEER, MI 48446
(810) 202-4555
Mailing address
944 BALDWIN RD, LAPEER, MI 48446-3089
(810) 245-5562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704283521
MI
363L00000X
Nurse Practitioner
Primary
4704283521
MI
Other
Enumeration date
10/02/2017
Last updated
06/22/2020
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