Individual
DR. RUSSELL OWEN SCHUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8875 CENTRE PARK DR, SUITE D, COLUMBIA, MD 21045-2114
(410) 730-1000
(410) 730-8615
Mailing address
8875 CENTRE PARK DR, SUITE D, COLUMBIA, MD 21045-2114
(410) 730-1000
(410) 730-8615
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H35058
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526471500
—
MD
Enumeration date
08/09/2006
Last updated
01/08/2009
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