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1013455922
RUSSELL MILLER
SHELBY TOWNSHIP, MI
NPI
1013455922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI 4704281165)
Enumeration Date
2017-02-11
Last Update Date
2017-02-11
Business Address
-- RUSSELL MILLER CNP
50505 SCHOENHERR RD STE. 340
SHELBY TOWNSHIP, MI 48315-3140
Phone number: 586-731-8400
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Mailing Address
-- RUSSELL MILLER CNP
50505 SCHOENHERR RD STE. 340
SHELBY TOWNSHIP, MI 48315-3140
Phone number: 586-731-8400
Copy
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