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Dr. Russell J Anderson, DO
Family Medicine Physician in Ithaca, Michigan
NPI 1972578862

Russell J Anderson is a Family Medicine Physician based in Carson City, MI. Russell J Anderson practices in Ithaca, MI and has the professional credentials of DO. The NPI Number for Russell J Anderson is 1972578862 and holds a License No. 5101014069 (Michigan).

The current practice location address for Russell J Anderson is 114 N Main St, Ithaca, MI and can be reached out via phone at 989-875-4166 and via fax at 989-875-3600.

Location: 114 N Main St, Ithaca, MI, 48811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972578862
Provider Name
Russell J Anderson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
114 N Main St, Ithaca, MI, 48811
Phone Number
989-875-4166
Fax Number
989-875-3600
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080138916 01 MI RAILROAD MEDICARE PTAN
3479525 05 MI
institution
Provider Business Practice Location Address Details
Address
114 N Main St
City
Ithaca
State
Michigan
Zip
48847
Phone Number
989-875-4166
Fax Number
989-875-3600
person
Provider Business Mailing Address Details
Address
114 N Main St
City
Ithaca
State
Michigan
Zip
48847
Phone Number
989-875-4166
Fax Number
989-875-3600
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101014069 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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