| NPI | 1609676766 |
|---|---|
| Other Name | LIFEBRIDGE SUBURBAN PHYSICIANS GROUP LLC D/B/A DR. RUSSELL SCHUB AT CROSSROADS |
| Entity Type | Organization |
| Authorized Contact | MARY REBECCA WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |