person
Sandra K Russell, DO
Obstetrics & Gynecology Physician in Okemos, Michigan
NPI 1417937723

Sandra K Russell is a Obstetrics & Gynecology Physician based in Flint, MI. Sandra K Russell practices in Okemos, MI and has the professional credentials of DO. The NPI Number for Sandra K Russell is 1417937723 and holds a License No. 5101010708 (Michigan).

The current practice location address for Sandra K Russell is 2104 Jolly Rd, Okemos, MI and can be reached out via phone at 517-975-1400 and via fax at 517-975-1405.

Location: 2104 Jolly Rd, Okemos, MI, 48532-3638
person
Provider Profile Details
NPI Number
1417937723
Provider Name
Sandra K Russell
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2104 Jolly Rd, Okemos, MI, 48532-3638
Phone Number
517-975-1400
Fax Number
517-975-1405
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0700083 01 MI PHYSICIANS HEALTH PLAN
160C311260 01 MI BLUE CHOICE
160C311260 01 MI BLUE CARE NETWORK
1006244 01 MI MCLAREN HEALTH PLAN
E68082 01 MI HEALTH NET FEDERAL SERVIC
4460493 05 MI
160C311260 01 MI COMMUNITY BLUE PPO
1006244 01 MI HEALTH ADVANTAGE NETWORK
1652300205 01 MI BLUE CROSS BLUE SHIELD
160C311260 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2104 Jolly Rd
City
State
Zip
48864-6043
Phone Number
517-975-1400
Fax Number
517-975-1405
person
Provider Business Mailing Address Details
Address
2104 Jolly Rd
City
State
Zip
48864-6043
Phone Number
517-975-1400
Fax Number
517-975-1405
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
5101010708 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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