ALLEN J RUSSELL

LIVONIA, MI
NPI1184627945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301042036)
Additional Taxonomies208D00000X General Practice
(Licence: MI  4301042036)
Enumeration Date2005-05-24
Last Update Date2023-11-09
Business Address
ALLEN J RUSSELL M.D.
32401 8 MILE RD
LIVONIA, MI 48152-1301
Phone number: 913-359-6001
Mailing Address
ALLEN J RUSSELL M.D.
6601 COLLEGE BLVD STE 120
OVERLAND PARK, KS 66211-1504
Phone number: 913-359-6001