DR. Mandy R Russell, O.D.
NPI #1316084965 in Big Rapids, Michigan
Provider Information
- NPI Number
- 1316084965
- Entity Type
- Individual
- Name
- DR. Mandy R Russell, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jan 31, 2007
- Last Updated
- May 13, 2011
Practice Location
- Address
- 650 LINDEN ST
- Address 2
- SUITE 5
- City
- Big Rapids
- State
- Michigan
- ZIP Code
- 49307-1879
- Phone
- (231) 796-0010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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