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1508029497
WESLEY ALAN RUSSELL
FORT WAYNE, IN
NPI
1508029497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: IN 01072532A)
Enumeration Date
2008-07-09
Last Update Date
2018-06-15
Business Address
Dr. WESLEY ALAN RUSSELL M.D.
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Phone number: 260-266-9100
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Mailing Address
Dr. WESLEY ALAN RUSSELL M.D.
7910 W JEFFERSON BLVD SUITE 110
FORT WAYNE, IN 46804-4159
Phone number: 260-436-4116
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