IndividualActive
Mark Russell, MD
NPI 1083620256 · Pediatric Cardiology Physician · Ann Arbor, MI
Provider details
- NPI number
- 1083620256
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301060392 (MI)
Practice location
1500 E Medical Center Dr
11th Floor Cs Mott Childrens Hospital Room 661
Ann Arbor, MI 48109-5204
Phone: (734) 764-5176
Mailing address
3621 S State St
Ann Arbor, MI 48108
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2013-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.