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Heather Russell

NPI 1316235930 · on the registry since 2011

Practice

Address
1010 Monongalia Ave Sw
Willmar, MN 56201
Phone
(320) 235-0796

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-07-17

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 Minnesota