Individual provider · Type 1 NPI
Russell Leslie Bush, MD, M.P.H.
Adolescent Medicine (Family Medicine) Physician · Grand Blanc, MI
NPI number
1144287798
Active
Practice location
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Fax (810) 606-5991
Mailing address
720 4th St
Lapeer, MI 48446-1447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician Primary | 207QA0000X | 4301405603 (MI) |
Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
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About NPI 1144287798
Russell Leslie Bush, MD, M.P.H.'s National Provider Identifier is 1144287798, issued on Apr 27, 2006. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Grand Blanc, MI. The record was last updated on Dec 5, 2007.