DR. Susan R. Russell, M.D.

NPI #1700842754 in Wilkes Barre, Pennsylvania

Provider Information

NPI Number: 1700842754
Entity Type: Individual
Name: DR. Susan R. Russell, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 26, 2006
Last Updated: Aug 5, 2020

Practice Location

Address: 25 CHURCH ST
City: Wilkes Barre
State: Pennsylvania
ZIP Code: 18702-3507
Phone: (570) 808-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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