Most Relevant Information
Provider Data
| NPI Number: | 1003374265 |
| Provider Name: | MICHAEL RUSSELL |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | MD61451324 |
Most Important Dates
| Enumeration Date: | 03/06/2019 |
| Last Updated: | 08/13/2024 |
Provider Practice Location
217 W CATALDO AVE FL 3
SPOKANE
WA
992012217
Practice Location Phone/Fax
| Phone: | 5097476194 |
| Fax: | 5092277070 |
Provider Mailing Location
PO BOX 421
LIBERTY LAKE
WA
990190421
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Surgeon EMR