NPI 1063076081
Krystle Russow, RRT
Practice location
- Address
- 4646 John R St, Detroit, MI 48201-1916
- Phone
- (313) 671-9555
- Mailing address
- 7413 Red Bird Dr, Ypsilanti, MI 48197-9454
Registered specialties
Palliative/Hospice Registered Respiratory Therapist
Primary
Registry record
- NPI
- 1063076081
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Apr 2019
- Record last updated
- 25 Apr 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.