Individual
DR. ANDREW J. RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9000
Mailing address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51667
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
06/22/2006
Last updated
07/09/2014
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