Russell Raymond Jaicks, M.D.

NPI #1184727414 in Kissimmee, Florida

Provider Information

NPI Number
1184727414
Entity Type
Individual
Name
Russell Raymond Jaicks, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery
Credential
M.D.
Enumeration Date
Sep 5, 2006
Last Updated
Apr 18, 2013

Practice Location

Address
720 W OAK ST
Address 2
SUITE 101
State
Florida
ZIP Code
34741-4989
Phone
(407) 846-3166

Specialties & Taxonomy Codes

Specialty
Surgery

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