Individual
DR. DOUGLAS C RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 OVERLOOK TER, VETERANS HOSPITAL, MADISON, WI 53705-2254
(608) 280-7003
Mailing address
630 ONDOSSAGON WAY, MADISON, WI 53719-3244
(608) 280-7003
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39296-020
WI
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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