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1144287798
RUSSELL LESLIE BUSH
GRAND BLANC, MI
NPI
1144287798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0000X Family Medicine, Adolescent Medicine
(Licence: MI 4301405603)
Enumeration Date
2006-04-27
Last Update Date
2007-12-05
Business Address
Dr. RUSSELL LESLIE BUSH M.D., M.P.H.
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number: 810-606-7723
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Mailing Address
Dr. RUSSELL LESLIE BUSH M.D., M.P.H.
720 4TH ST
LAPEER, MI 48446-1447
Phone number: 810-664-8523
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