Hannah B Russell, PA-C

NPI #1346601127 in Lewiston, Michigan

Provider Information

NPI Number: 1346601127
Entity Type: Individual
Name: Hannah B Russell, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 8, 2016
Last Updated: Mar 8, 2016

Practice Location

Address: 3040 BOURN ST
City: Lewiston
State: Michigan
ZIP Code: 49756-8134
Phone: (989) 786-4877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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