Individual provider · Type 1 NPI

Brent Charles Russell, P.A.-C.

Medical Physician Assistant · Sterling Heights, MI

NPI number 1255412318 Active

Practice location

43145 Schoenherr Rd
Sterling Heights, MI 48313-1955

Call (589) 997-5048 Map

Fax (589) 997-5049

Mailing address

12685 Highland Rd
Hartland, MI 48353-2933

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5601002647 (MI)
Medical Physician Assistant Primary 363AM0700X50-00-0863 (OH)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1255412318

Brent Charles Russell, P.A.-C.'s National Provider Identifier is 1255412318, issued on Oct 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sterling Heights, MI. The record was last updated on Mar 7, 2023.