CALVIN RUSSELL

MARION, IN
NPI1992775456
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01024365)
Enumeration Date2006-01-25
Last Update Date2007-07-08
Business Address
CALVIN RUSSELL M.D.
1391 N BALDWIN AVE
MARION, IN 46952-1913
Phone number: 765-662-2534
Mailing Address
CALVIN RUSSELL M.D.
1391 N BALDWIN AVE
MARION, IN 46952-1913
Phone number: 765-662-2534