Individual
DR. MICHAEL EDWARD RUSSELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
(903) 939-7728
Mailing address
PO BOX 130189, TYLER, TX 75713-0189
(903) 939-7500
(903) 939-7728
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
J2290
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
J2290
TX
Other
Enumeration date
10/11/2005
Last updated
04/22/2025
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