Individual
ELLIOTT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UW HOSPITALS & CLINICS 600 HIGHLAND AVE, MADISON, WI 53792-0001
(312) 503-7975
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
76157-20
WI
Other
Enumeration date
12/15/2015
Last updated
07/23/2025
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