Individual
DR. WILLIAM E RUSSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LLP
Contact information
Practice address
12978 JAMES ST STE 10, HOLLAND, MI 49424
(616) 399-7005
(616) 399-7150
Mailing address
12978 JAMES ST STE 10, HOLLAND, MI 49424
(616) 399-7005
(616) 399-7150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011778
MI
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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