RUSSELL J ANDERSON

ITHACA, MI
NPI1972578862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101014069)
Enumeration Date2006-02-22
Last Update Date2009-12-03
Business Address
Dr. RUSSELL J ANDERSON DO
114 N MAIN ST
ITHACA, MI 48847
Phone number: 989-875-4166
Mailing Address
Dr. RUSSELL J ANDERSON DO
PO BOX 730 406 E ELM ST
CARSON CITY, MI 48811
Phone number: 989-584-3131
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