| Russel Brubaker Md | |
|
11751 Rural Acres Dr Se Alto MI 49302-9577 | |
| (616) 868-7115 | |
| Not Available |
| Full Name | Russel Brubaker Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11751 Rural Acres Dr Se, Alto, Michigan |
| Authorized Official Name and Position | Valerie Alexander (BILLING MANAGER) |
| Authorized Official Contact | 6167351505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russel Brubaker Md Po Box 140241 Grand Rapids MI 49514-0241 Ph: (616) 868-7115 | Russel Brubaker Md 11751 Rural Acres Dr Se Alto MI 49302-9577 Ph: (616) 868-7115 |
| NPI Number | 1326741430 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326741430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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