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Contact Information

RUSSELL L BUSH, M.D., M.P.H.
1 GENESYS PKWY
GRAND BLANC, MI48439-8065
 Phone: 810-606-7723
 Fax: 810-606-5991
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RUSSELL L BUSH · (Male)

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
  • MI License # 4301405603
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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