RUSSELL LESLIE BUSH

GRAND BLANC, MI
NPI1144287798
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0000X Family Medicine, Adolescent Medicine
(Licence: MI  4301405603)
Enumeration Date2006-04-27
Last Update Date2007-12-05
Business Address
Dr. RUSSELL LESLIE BUSH M.D., M.P.H.
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number: 810-606-7723
Mailing Address
Dr. RUSSELL LESLIE BUSH M.D., M.P.H.
720 4TH ST
LAPEER, MI 48446-1447
Phone number: 810-664-8523