Russell Willson

NPI 1164532362 - Pharmacist - 183500000X

NPI Details
NPI 1164532362
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
200 E AYER ST
IRONWOOD MI, 49938-2070, US
Phone (906) 932-4500
Fax
Business Location
526 E MIDLAND AVE
IRONWOOD MI, 49938-1446, US
Phone (906) 932-0574
Fax
Toxanomy
Taxonomy Code 183500000X
License State Michigan
License Number 5302021155
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According to our database, Russell Willson NPI is 1164532362, taxonomy code is 183500000X and license number is 5302021155, license state is located at Michigan. Russell Willson physically located at 200 E Ayer St, Ironwood MI, 49938-2070. NPI Number Russell Willson has the Individual type.

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1164532362 NPI number is provided on an as is basis without warranty of any kind. 1164532362 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Willson are for informational purposes only.