Individual
DR. RUSSELL YSKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 456-0857
Mailing address
926 WASHINGTON AVE STE 210, HOLLAND, MI 49423-7725
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301107646
MI
Other
Enumeration date
06/25/2015
Last updated
06/29/2020
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