Bush, Russell Leslie
Bush, Russell Leslie is an individual health care provider with primary practice located at 1 Genesys Pkwy , Grand Blanc MI 48439-8065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Bush, Russell Leslie can be contacted via phone (810) 606-7723.Contact Information
Primary practice address
1 Genesys Pkwy
Grand Blanc MI 48439-8065
Phone: (810) 606-7723
Fax: (810) 606-5991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | 4301405603 | Michigan |
Profile Details
| NPI number | 1144287798 |
|---|---|
| LBN Legal business name | Bush, Russell Leslie |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Dec 5th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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