Search › Michigan › 171M00000X
Tierra Russaw
NPI 1649882135 · on the registry since 2020
Practice
- Address
- 29079 Annapolis Rd Ste 510
Westland, MI 48186 - Phone
- (313) 919-0655
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-18
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 Michigan