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Allen J Russell, MD
Diagnostic Radiology Physician in Livonia, Michigan
NPI 1184627945

Allen J Russell is a Diagnostic Radiology Physician based in Overland Park, MI and is specialized in Diagnostic Radiology. Allen J Russell practices in Livonia, MI and has the professional credentials of MD. The NPI Number for Allen J Russell is 1184627945 and holds a License No. 4301042036 (Michigan).

The current practice location address for Allen J Russell is 32401 8 Mile Rd, Livonia, MI and can be reached out via phone at 913-359-6001 and via fax at 913-359-5552.

Location: 32401 8 Mile Rd, Livonia, MI, 66211-1504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184627945
Provider Name
Allen J Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
32401 8 Mile Rd, Livonia, MI, 66211-1504
Phone Number
913-359-6001
Fax Number
913-359-5552
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301042036 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
32401 8 Mile Rd
City
Livonia
State
Michigan
Zip
48152-1301
Phone Number
913-359-6001
Fax Number
913-359-5552
person
Provider Business Mailing Address Details
Address
32401 8 Mile Rd
City
Livonia
State
Michigan
Zip
48152-1301
Phone Number
913-359-6001
Fax Number
913-359-5552
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301042036 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301042036 (Michigan)
Definition
Definition to come...
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