<Unavail>

LBN: Deborah L Russell Md Pllc
<Unavail> is an health care organization with primary practice located at 4177 Fashion Square Blvd. Suite # 1, Saginaw MI 48603-5216. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty. Deborah L Russell Md Pllc can be contacted via phone (989) 791-9100, or through Russell, Deborah Lee via phone (989) 791-9100.

Contact Information

Primary practice address
4177 Fashion Square Blvd. Suite # 1 Saginaw MI 48603-5216
Phone: (989) 791-9100
Fax: (989) 791-6746
Website:
Map and Directions
Authorized official contact:
Name: Russell, Deborah Lee Doctor of Medicine (MD)
Phone: (989) 791-9100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301053500 Michigan
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704246844 Michigan

Profile Details

NPI number 1962527655
LBN Legal business name Deborah L Russell Md Pllc
DBA Doing business as <Unavail>
Authorized official Russell, Deborah Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 24th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962527655 NPPES
Michigan Other 700G310050 BCBSM
Michigan MEDICAID 3170069 BCBSM

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