M.D. Allen J Russell, NPI 1184627945
Diagnostic Radiology Physician in Livonia, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1184627945
NPI Entity Type Individual
Provider Name M.D. Allen J Russell
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 36923 Schoolcraft Rd, Livonia, MI, US
Provider Mailing Address 601 E Main St Ste 101, Mahomet, IL, US, 618537460
Gender Male
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 4301042036
License State MI
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

M.D. Allen J Russell
36923 Schoolcraft Rd

Livonia, MI, US

Phone: 913-359-6001
Fax: 913-359-5552

Mailing Address

M.D. Allen J Russell
601 E Main St Ste 101
Mahomet, IL, US
ZIP 618537460
Phone: 913-359-6001
Fax: 217-897-6999

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208D00000X

Allopathic & Osteopathic Physicians

General Practice

4301042036 MI No

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