Search › Wisconsin › 207N00000X
Thomas Russell, MD
NPI 1528051166 · on the registry since 2005
Practice
- Address
- 13800 W North Ave
Ste 100
Brookfield, WI 53005 - Phone
- (262) 754-4488
- Fax
- (262) 754-4940
- Organisation at this address
- Affiliated Dermatologists Sc
Greater Milwaukee Plastic Surgeons ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-20
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 Wisconsin