Fridson, Russell Brian

Fridson, Russell Brian is an individual health care provider with primary practice located at 3901 Beaubien St , Detroit MI 48201-2196. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Fridson, Russell Brian can be contacted via phone (616) 456-0842.

Contact Information

Primary practice address
3901 Beaubien St Detroit MI 48201-2196
Phone: (616) 456-0842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5101023239 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5151009728 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 5101026596 Michigan

Profile Details

NPI number 1770013559
LBN Legal business name Fridson, Russell Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jul 21st, 2022 - about 2 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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