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1720076052
MICHAEL EDWARD RUSSELL
TYLER, TX
NPI
1720076052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: TX J2290)
Enumeration Date
2005-10-11
Last Update Date
2022-10-18
Business Address
Dr. MICHAEL EDWARD RUSSELL MD
3414 GOLDEN RD
TYLER, TX 75701-8336
Phone number: 903-939-7500
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Mailing Address
Dr. MICHAEL EDWARD RUSSELL MD
PO BOX 130189
TYLER, TX 75713-0189
Phone number: 903-939-7500
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