Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KRYSTLE RUSSOW, RRT
Active Sole ProprietorMRS. KRYSTLE RUSSOW, RRT is a 2279P3800X healthcare provider located in DETROIT, Michigan. NPI 1063076081 is currently active in the NPPES registry. Verify at CMS.
2279P3800X · DETROIT, MI
Registration Details
- NPI Number
- 1063076081
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2019 (7.2809443170745 yrs)
- Last Updated
- Apr 25, 2019
- License
-
4401006619 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4646 JOHN R STDETROIT, MI, 482011916Browse MI providers · Browse ZIP 48201
- Phone
- 3136719555
- Primary Specialty
-
2279P3800X
2279P3800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.