Organization
DEBORAH L RUSSELL MD PLLC
Active
Other names
Deborah L Russell MD and Paul A Meyer MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH LEE RUSSELL MD (OWNER)
(989) 791-9100
Entity
Organization
Contact information
Practice address
4177 FASHION SQUARE BLVD., SUITE # 1, SAGINAW, MI 48603-5216
(989) 791-9100
(989) 791-6746
Mailing address
4177 FASHION SQUARE BLVD., SUITE # 1, SAGINAW, MI 48603-5216
(989) 791-9100
(989) 791-6746
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301053500
MI
207VG0400X
Gynecology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
4704246844
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3170069
—
MI
01
—
700G310050
BCBSM
MI
Enumeration date
03/20/2007
Last updated
08/24/2021
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