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Individual

MICHAEL RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
(304) 637-3435
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
(304) 637-3435

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200201308
NC

Other

Enumeration date
03/07/2007
Last updated
04/08/2022
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