Christine A Russell, MSRD

NPI #1023455375 in Traverse City, Michigan

Provider Information

NPI Number: 1023455375
Entity Type: Individual
Name: Christine A Russell, MSRD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MSRD
Enumeration Date: May 28, 2013
Last Updated: Jan 23, 2020

Practice Location

Address: 1105 SIXTH ST
City: Traverse City
State: Michigan
ZIP Code: 49684-2345
Phone: (231) 935-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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