Shellie A Russell M.D.

NPI 1790849065 - Pediatrics - 208000000X

NPI Details
NPI 1790849065
Gender Female
Enumeration Date 12/21/2006
Last Updated 11/05/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
128 E MILLTOWN RD STE 209
WOOSTER OH, 44691-1276, US
Phone (330) 345-1100
Fax (330) 345-1194
Business Location
128 E MILLTOWN RD STE 209
WOOSTER OH, 44691-1276, US
Phone (330) 345-1100
Fax (330) 345-1194
Toxanomy
Taxonomy Code 208000000X
License State Ohio
License Number 35-077921
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According to our database, Shellie A Russell M.D. NPI is 1790849065, taxonomy code is 208000000X and license number is 35-077921, license state is located at Ohio. Shellie A Russell M.D. physically located at 128 E Milltown Rd Ste 209, Wooster OH, 44691-1276. NPI Number Shellie A Russell M.D. has the Individual type.

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1790849065 NPI number is provided on an as is basis without warranty of any kind. 1790849065 is maintained by the National Plan & Provider Enumeration System. The contents of Shellie A Russell M.D. are for informational purposes only.