NPI | 1962527655 |
---|---|
Former Legal Business Name | DEBORAH L RUSSELL MD AND PAUL A MEYER MD PC |
Entity Type | Organization |
Authorized Contact | DEBORAH LEE RUSSELL Owner 989-791-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301053500) |
363LF0000X Nurse Practitioner Family (Licence: MI 4704246844) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2021-08-24 |