Jonathan Michael Russell, PA-C

NPI #1174922447 in Big Rapids, Michigan

Provider Information

NPI Number
1174922447
Entity Type
Individual
Name
Jonathan Michael Russell, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Aug 22, 2014
Last Updated
Feb 23, 2021

Practice Location

Address
705 OAK ST UNIT 11
ZIP Code
49307-3108
Phone
(231) 592-1002

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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