NICOLE RUSSELL, DO

Surgery

Active Individual
NPI: 1538956743

Practice Address

1 GENESYS PKWY
Grand Blanc, MI 48439

Phone: (810) 606-5000

Specialties

Specialty Code Primary License
Surgery 208600000X Yes 5151017284 (MI)
Student in an Organized Health Care Education/Training Program 390200000X No 5151017284 (MI)

Frequently Asked Questions

NPI 1538956743 is the National Provider Identifier for NICOLE RUSSELL, DO, a Surgery provider located in Grand Blanc, MI. This NPI was enumerated on April 22, 2025.
NICOLE RUSSELL, DO practices at 1 GENESYS PKWY, Grand Blanc, MI 48439.

Quick Facts

NPI
1538956743
Type
Individual
Enumerated
Apr 22, 2025
Last Updated
May 5, 2025

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