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1144205113
PATRICK W RUSSELL
SOUTH BEND, IN
NPI
1144205113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IN 02001219)
Enumeration Date
2005-12-13
Last Update Date
2023-05-19
Business Address
Dr. PATRICK W RUSSELL D.O.
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601-1033
Phone number: 574-647-3050
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Mailing Address
Dr. PATRICK W RUSSELL D.O.
1219 GREENLEAF BLVD
ELKHART, IN 46514-1365
Phone number: 574-536-4753
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