| John Russell, MD | |
|
22 Hartford St # Sr, Houlton, ME 04730-1844 | |
| (207) 532-4068 | |
| Not Available |
| Full Name | John Russell |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 22 Hartford St # Sr, Houlton, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720013204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD00027077 (Washington) | Secondary |
| 208800000X | Urology | MD20256 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Russell, MD 1519 3rd St Se Ste 210, Puyallup, WA 98372-3742 Ph: Not Available | John Russell, MD 22 Hartford St # Sr, Houlton, ME 04730-1844 Ph: (207) 532-4068 |
Prakash Thawait, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 22 Hartford St, Suite 3, Houlton, ME 04730 Phone: 207-532-0774 |
Simon Ouaknine, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 22 Hartford St Ste 2, Houlton, ME 04730 Phone: 207-532-3289 Fax: 207-532-6071 |