Individual
AMANDA MICHELE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
31517 KELLY RD, FRASER, MI 48026-2465
(586) 846-0574
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4401009857
MI
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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