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1972555415
PETER L. RUSSELL
EDEN PRAIRIE, MN
NPI
1972555415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 20898)
Enumeration Date
2006-05-16
Last Update Date
2008-05-12
Business Address
-- PETER L. RUSSELL MD
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344-7301
Phone number: 952-826-6500
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Mailing Address
-- PETER L. RUSSELL MD
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344-7301
Phone number:
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