DR. DEBORAH LEE RUSSELL M.D. NPI 1295741338

NPI Information

NPI: 1295741338
Provider Name: DR. DEBORAH LEE RUSSELL, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
4177 FASHION SQUARE BLVD
SUITE 1
SAGINAW, MI
ZIP 48603
Phone: (989) 791-9100
Get Directions

DR. Deborah Lee Russell, M.D. is a gynecology obstetrics gynecology in Saginaw, MI. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Deborah Lee Russell, M.D. NPI is 1295741338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4177 FASHION SQUARE BLVD
SUITE 1
SAGINAW, MI
ZIP 48603-216
Phone: (989) 791-9100
Fax: (989) 791-6746

The enumeration date for this NPI number is 7/31/2006 and was last updated on 4/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		4301053500	MICHIGAN	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	4301053500	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3170069	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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