Search › Indiana › 2255A2300X
Jim Russ
NPI 1295703098 · on the registry since 2006
Practice
- Address
- 113 Joyce Ctr
Notre Dame, IN 46556 - Phone
- (574) 631-3304
- Fax
- (574) 631-3305
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana