National Provider Identifier Database

WESLEY A RUSSELL, MD – NPI #1508029497
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

WESLEY A RUSSELL, MD
11141 PARKVIEW PLAZA DR STE 110
SUITE 110
FORT WAYNE, IN46845-1714
Phone: 260-266-9100
Fax: 260-266-9110
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for WESLEY A RUSSELL

NPI Number 1508029497
Credentials MD
Entity Individual
Enumeration date 07/09/2008
Last updated 06/15/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01072532A
  • IN Medicaid: 201163340
  • MI Medicaid: 1508029497
  • OH Medicaid: 0083773
Hospital affiliation n/a

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.

Reviews for WESLEY A RUSSELL, MD

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