Russell, Timothy Paul

Russell, Timothy Paul is an individual health care provider with primary practice located at Unit 45011 Bldg 704, Attn: Mcja-Qm Usa Meddac-Japan, Apo AP 96338-5011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russell, Timothy Paul can be contacted via phone 011813117.

Contact Information

Primary practice address
Unit 45011 Bldg 704, Attn: Mcja-Qm Usa Meddac-Japan Apo AP 96338-5011
Phone: 011813117
Fax: 4127
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21584-020 Wisconsin

Profile Details

NPI number 1770565087
LBN Legal business name Russell, Timothy Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
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.

Request for update

Popular Providers