ERIK L RUSSELL

COMMUNITY CLINIC OF MAUI, INC.

Dr ERIK L RUSSELL is a male medical professional, specializing in Internal Medicine. He graduated in 1991 from Eastern Virginia Medical School.

Contact

COMMUNITY CLINIC OF MAUI, INC.

15 IPU AUMAKUA LN
LAHAINA
HI
967611193

Tel: 8088724099

ERIK L RUSSELL Information

Npi 1710979695
Pac Id 5890826168
Professional Enrollment Id I20141121002340
Last Name RUSSELL
First Name ERIK
Middle Name L
Suffix
Gender M
Credential
Medical School Name EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year 1991
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COMMUNITY CLINIC OF MAUI, INC.
Group Practice Pac Id 2466365440
Number Of Group Practice Members 8
Line 1 Street Address 15 IPU AUMAKUA LN
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LAHAINA
State HI
Zip Code 967611193
Phone Number 8088724099
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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