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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRENT CHARLES RUSSELL, P.A.-C.

Active Sole Proprietor

MR. BRENT CHARLES RUSSELL, P.A.-C. is a Medical Physician Assistant healthcare provider located in STERLING HEIGHTS, Michigan. NPI 1255412318 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · STERLING HEIGHTS, MI

Registration Details

NPI Number
1255412318
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2006 (19.806593038596 yrs)
Last Updated
Mar 7, 2023
Licenses
5601002647 (MI)
50-00-0863 (OH)
Sole Proprietor
Yes

Practice Information

Address
43145 SCHOENHERR RD
STERLING HEIGHTS, MI, 483131955
Browse MI providers · Browse ZIP 48313
Phone
5899975048
Fax
5899975049
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in STERLING HEIGHTS, MI

Name Credential NPI
MS. NELLYNN L. HATCH P.A.-C 1942295837
KIMBERLY G BARKER P.A.-C. 1780754994
WENDY K HOWARD PA-C 1326170952
MRS. CHRISTINE COLLINGS WYBO PA-C 1891989463
TERENIA A. CUSTER PA-C 1124204896
MRS. LARISA SPIELBERG JOERIGHT P.A. 1457679599
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.