Individual
RUSSELL D ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511-1842
(608) 364-2200
(608) 364-2489
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511-1842
(608) 364-2200
(608) 364-2489
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-073288
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
36273020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811906738
—
WI
Enumeration date
08/07/2006
Last updated
08/14/2012
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