DR. Russell J Anderson, DO

NPI #1972578862 in Ithaca, Michigan

Provider Information

NPI Number: 1972578862
Entity Type: Individual
Name: DR. Russell J Anderson, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Feb 22, 2006
Last Updated: Dec 3, 2009

Practice Location

Address: 114 N MAIN ST
City: Ithaca
State: Michigan
ZIP Code: 48847
Phone: (989) 875-4166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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