Russell, Deborah Lee

Russell, Deborah Lee is an individual health care provider with primary practice located at 4177 Fashion Square Blvd Suite 1, Saginaw MI 48603-5216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Russell, Deborah Lee can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301053500 Michigan
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 4301053500 Michigan

Profile Details

NPI number 1295741338
LBN Legal business name Russell, Deborah Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Apr 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295741338 NPPES
Michigan MEDICAID 3170069

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