Individual
MR. MICHAEL J RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825
(916) 973-6847
(916) 973-5611
Mailing address
216 F ST #76, DAVIS, CA 95616
(530) 668-8988
(530) 668-1229
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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