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Michael P. Russin, MD
Hematology & Oncology Physician in Walnut Creek, California
NPI 1063590156

Michael P. Russin is a Hematology & Oncology Physician based in Oakland, CA and is specialized in Hematology & Oncology. Michael P. Russin practices in Walnut Creek, CA and has the professional credentials of MD. The NPI Number for Michael P. Russin is 1063590156 and holds a License No. A73638 (California).

The current practice location address for Michael P. Russin is 1425 S Main St, Walnut Creek, CA and can be reached out via phone at 925-295-4000.

Location: 1425 S Main St, Walnut Creek, CA, 94612-3466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063590156
Provider Name
Michael P. Russin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1425 S Main St, Walnut Creek, CA, 94612-3466
Phone Number
925-295-4000
Fax Number
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A736380 05 CA
institution
Provider Business Practice Location Address Details
Address
1425 S Main St
City
Walnut Creek
State
California
Zip
94596-5318
Phone Number
925-295-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1425 S Main St
City
Walnut Creek
State
California
Zip
94596-5318
Phone Number
925-295-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
A73638 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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