Individual
WILLIAM M RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D30182
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D0030182
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012
BCBS OF DC
—
01
—
0943ER-399490-05
CAREFIRST BCBS OF MD
—
05
—
369001600
—
MD
01
—
39949003
BCBS OF MD
—
Enumeration date
10/13/2006
Last updated
12/13/2021
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