Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSEL JEROME LEGREID II, M.D.
ActiveDR. RUSSEL JEROME LEGREID II, M.D. is a Specialist healthcare provider located in BLUFFTON, Indiana. NPI 1407897978 is currently active in the NPPES registry. Verify at CMS.
Specialist · BLUFFTON, IN
Registration Details
- NPI Number
- 1407897978
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2006 (20.224627835226 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
39319 (TN)01074428A (IN)
Practice Information
- Address
-
1026 S MAIN STBLUFFTON, IN, 467143614Browse IN providers · Browse ZIP 46714
- Phone
- 2603532023
- Fax
- 2608247244
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
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.