MR. Christopher James Russell, PA-C

NPI #1326055708 in Plover, Wisconsin

Provider Information

NPI Number: 1326055708
Entity Type: Individual
Name: MR. Christopher James Russell, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 1, 2006
Last Updated: Apr 1, 2021

Practice Location

Address: 2401 PLOVER RD
City: Plover
State: Wisconsin
ZIP Code: 54467-3916
Phone: (715) 295-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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