Organization
HHHPSMI-1 PLLC
Active
Other names
HHHPS
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON AARON RUSSELL D.O. (PHYSICIAN)
(269) 789-2523
Entity
Organization
Contact information
Practice address
309 W MICHIGAN AVE, MARSHALL, MI 49068-1524
(269) 789-2523
Mailing address
309 W MICHIGAN AVE, MARSHALL, MI 49068-1524
(269) 789-2523
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
MI
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/14/2009
Last updated
04/05/2010
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