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1194737742
MICHAEL RUSSELL
INDIANAPOLIS, IN
NPI
1194737742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 01036870)
Enumeration Date
2006-08-12
Last Update Date
2021-03-24
Business Address
MICHAEL RUSSELL MD
8111 S EMERSON AVE
INDIANAPOLIS, IN 46237-8601
Phone number: 317-528-5261
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Mailing Address
MICHAEL RUSSELL MD
PO BOX 7112 DEPT. #31
INDIANAPOLIS, IN 46207-7112
Phone number: 317-802-3151
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