Doris A. Russ REGISTERED NURSE

NPI 1629206982 - Registered Nurse - 163W00000X

NPI Details
NPI 1629206982
Gender Female
Enumeration Date 06/25/2009
Last Updated 06/25/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
4256 N 36TH ST
MILWAUKEE WI, 53216-1718, US
Phone (414) 406-1039
Fax
Business Location
4256 N 36TH ST
MILWAUKEE WI, 53216-1718, US
Phone (414) 406-1039
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Wisconsin
License Number 86035-030
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According to our database, Doris A. Russ REGISTERED NURSE NPI is 1629206982, taxonomy code is 163W00000X and license number is 86035-030, license state is located at Wisconsin. Doris A. Russ REGISTERED NURSE physically located at 4256 N 36th St, Milwaukee WI, 53216-1718. NPI Number Doris A. Russ REGISTERED NURSE has the Individual type.

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1629206982 NPI number is provided on an as is basis without warranty of any kind. 1629206982 is maintained by the National Plan & Provider Enumeration System. The contents of Doris A. Russ REGISTERED NURSE are for informational purposes only.