Individual provider · Type 1 NPI

Cori Elizabeth Russell, MD

Cardiovascular Disease Physician · Detroit, MI

NPI number 1508129768 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202

Mailing address

915 Berkshire Rd
Grosse Pointe Park, MI 48230-1821

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X251525 (MA)
Cardiovascular Disease Physician Primary 207RC0000X4301114487 (MI)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1508129768

Cori Elizabeth Russell, MD's National Provider Identifier is 1508129768, issued on Jun 21, 2012. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Detroit, MI. The record was last updated on Aug 29, 2018.