Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN MICHAEL RUSSELL, PA-C
ActiveJONATHAN MICHAEL RUSSELL, PA-C is a Physician Assistant healthcare provider located in BIG RAPIDS, Michigan. NPI 1174922447 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BIG RAPIDS, MI
Registration Details
- NPI Number
- 1174922447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2014 (11.971620721093 yrs)
- Last Updated
- Feb 23, 2021
- License
-
5601007115 (MI)
Practice Information
- Address
-
705 OAK ST UNIT 11BIG RAPIDS, MI, 493073108Browse MI providers · Browse ZIP 49307
- Phone
- 2315921002
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BIG RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MS. MARCIE L STIEG-WILLIAMS | PAC | 1922070408 |
| PETER BAAR | P.A.C. | 1467471581 |
| ANDRIA KEUSCH | P.A.C. | 1225057409 |
| TRACY HELEN SACKETT-FOSTER | P.A.C. | 1114949336 |
| SUSAN J THOMAS-MALISZEWSKI | PA-C | 1023104932 |
| MONICA J DELANEY | PA-C | 1639242415 |
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.