Russell, Sarah Marie

Russell, Sarah Marie is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Russell, Sarah Marie can be contacted via phone (313) 916-2405.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (313) 916-2405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11018452A Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301117303 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301117303 Michigan

Profile Details

NPI number 1851772768
LBN Legal business name Russell, Sarah Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2015
Last updated Apr 22nd, 2022 - about 4 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 1851772768 NPPES
Michigan Other 4301117303 LICENSE NUMBER

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