EVAN T RUSSELL

COLUMBUS, IN
NPI1609039973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine Interventional Cardiology
(Licence: IN  01068153A)
Additional Taxonomies208M00000X Hospitalist
(Licence: IN  01068153A)
Enumeration Date2008-07-08
Last Update Date2024-09-06
Business Address
EVAN T RUSSELL MD
2325 18TH ST SUITE 130
COLUMBUS, IN 47201-5388
Phone number: 812-379-2020
Mailing Address
EVAN T RUSSELL MD
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number: 812-376-5315