Individual
DR. LUKE RAYMOND RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 JOHN ST # 74, KALAMAZOO, MI 49007-5341
(269) 341-8481
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-7060
(517) 205-7050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101024597
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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