NPI Profile for Dr RUSSELL L BUSH in GRAND BLANC, MI.
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent Medicine |
207QA0000X | 08 | Physician/Family Practice |
| NPI # | 1144287798 |
|
| Status | Active | |
| Credentials | M.D., M.P.H. | |
| Entity | Individual | |
| Enumeration date | 04/27/2006 | |
| Last updated | 12/05/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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RUSSELL L BUSH
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