Mark W Russell
Pediatrician Pediatric Cardiologist
1500 E Medical Center Dr 11th Floor Cs Mott Childrens Hospital Room 661
Ann Arbor
, Michigan 48109-5204
Mark W Russell
Pediatrician Pediatric Cardiologist
1500 E Medical Center Dr 11th Floor Cs Mott Childrens Hospital Room 661
Ann Arbor
, Michigan 48109-5204
(734) 936-2047
Write a Review Share Save Call
About
Features
Specialties
- Pediatrician
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Mark W Russell
- 3621 S State St 700 Kms Place
- Ann Arbor, MI
- Zip : 48108
- Phone : (734) 936-2047
Second Address
- Mark W Russell
- 1500 E Medical Center Dr 11th Floor Cs Mott Childrens Hospital Room 661
- Ann Arbor, MI
- Zip : 48109-5204
- Phone : (734) 764-5176
Reviews
FAQs
Where did Mark W Russell attend graduate school?
Where did Mark W Russell do his residency?
Where did Mark W Russell do his fellowship?
Is Mark W Russell board certified?
What type of doctor is Mark W Russell
In what state does Mark W Russell practice in?
Where is Mark W Russell ’s practice located?
What is Mark W Russell ’s gender?
Is Mark W Russell a sole practitioner?
Is Mark W Russell accepting new patients?
What languages does Mark W Russell speak?
Does Mark W Russell accept insurance?
Does Mark W Russell offers telemedicine?
What is Mark W Russell ’s professional license number?
What is Mark W Russell ’s NPI number?
Does Mark W Russell have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 4301060392 | MI |
| Y | 2080P0202X | Pediatric Cardiologist | 4301060392 | MI |
National Provider Identifier
| NPI | 1083620256 |
|---|---|
| Provider Name | Mark W Russell |
| First Address | Ann Arbor, MI 48108 |
| Second Address | Ann Arbor, MI 48109-5204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 29/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3226763 | (05) | MI |
| G21345 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.