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Dr. Russel Jerome Legreid II, MD
Specialist in Bluffton, Indiana
NPI 1407897978

Russel Jerome Legreid II is a Specialist based in Fort Wayne, IN. Russel Jerome Legreid II practices in Bluffton, IN and has the professional credentials of MD. The NPI Number for Russel Jerome Legreid II is 1407897978 and holds a License No. 39319 (Indiana).

The current practice location address for Russel Jerome Legreid II is 1026 S Main St, Bluffton, IN and can be reached out via phone at 260-353-2023 and via fax at 260-824-7244.

Location: 1026 S Main St, Bluffton, IN, 46804-7934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407897978
Provider Name
Russel Jerome Legreid II
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1026 S Main St, Bluffton, IN, 46804-7934
Phone Number
260-353-2023
Fax Number
260-824-7244
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407897978 05 WI
201250850 05 IN
institution
Provider Business Practice Location Address Details
Address
1026 S Main St
City
Bluffton
State
Indiana
Zip
46714-3614
Phone Number
260-353-2023
Fax Number
260-824-7244
person
Provider Business Mailing Address Details
Address
1026 S Main St
City
Bluffton
State
Indiana
Zip
46714-3614
Phone Number
260-353-2023
Fax Number
260-824-7244
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
39319 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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