JEFFREY HAROLD RUSSUM

SAINT PAUL, MN
NPI1659345346
Other NameJEFFREY H RUSSUM
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MN  34942)
Enumeration Date2006-02-17
Last Update Date2015-11-05
Business Address
-- JEFFREY HAROLD RUSSUM MD
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-3456
Mailing Address
-- JEFFREY HAROLD RUSSUM MD
8170 33RD AVE S MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number: 651-254-3456
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