Individual
ANDREW ELLIOTT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6831
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301508959
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
4301508959
MI
Other
Enumeration date
03/20/2018
Last updated
07/22/2025
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