Search › Michigan › 363A00000X
Alexander Russell, PA
NPI 1659895993 · on the registry since 2017
Practice
- Address
- 2799 W Grand Blvd
Detroit, MI 48202 - Phone
- (313) 874-4696
- Fax
- (313) 874-4677
- Organisation at this address
- Pcor Llc
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Henry Ford HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2,594
Additional practice sites
- 323 E Town St, Columbus, OH
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207XX0005X
- Licence states on file
- OH, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-25
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