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Dr. Patrick W Russell, DO
Neurology Physician in South Bend, Indiana
NPI 1144205113

Patrick W Russell is a Neurology Physician based in Elkhart, IN and is specialized in Neurology. Patrick W Russell practices in South Bend, IN and has the professional credentials of DO. The NPI Number for Patrick W Russell is 1144205113 and holds a License No. 02001219 (Indiana).

The current practice location address for Patrick W Russell is 615 N Michigan St, South Bend, IN and can be reached out via phone at 574-647-3050 and via fax at 574-647-1094.

Location: 615 N Michigan St, South Bend, IN, 46514-1365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144205113
Provider Name
Patrick W Russell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
615 N Michigan St, South Bend, IN, 46514-1365
Phone Number
574-647-3050
Fax Number
574-647-1094
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000215919 01 IN BLUE SHIELD
100114080 05 IN
130024231 01 IN MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
615 N Michigan St
City
South Bend
State
Indiana
Zip
46601-1033
Phone Number
574-647-3050
Fax Number
574-647-1094
person
Provider Business Mailing Address Details
Address
615 N Michigan St
City
South Bend
State
Indiana
Zip
46601-1033
Phone Number
574-647-3050
Fax Number
574-647-1094
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
02001219 (Indiana)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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