Russell, Thomas

Russell, Thomas is an sole proprietor health care provider with primary practice located at 12315 Otchipwe Ave N , Stillwater MN 55082-9547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Russell, Thomas can be contacted via phone (651) 439-9188.

Contact Information

Primary practice address
12315 Otchipwe Ave N Stillwater MN 55082-9547
Phone: (651) 439-9188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 17393 Minnesota

Profile Details

NPI number 1215346507
LBN Legal business name Russell, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2014
Last updated Aug 12th, 2014 - about 12 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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