Search › Michigan › 103TA0700X
Allen Russell
NPI 1033826136 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4488 Breton Rd Se
Grand Rapids, MI 49508 - Phone
- (616) 340-9026
Registry record
- Primary taxonomy
- 103TA0700X
103TA0700X
- Also registered as
- 101YM0800X
104100000X
174200000X
225100000X
311500000X - Sex
- Female
- Record last updated
- 2022-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan