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William M Russell, MD

Internal Medicine, Geriatric Medicine in Columbia, MD. Individual provider (NPI-1).

NPI number1720178445
StatusActive
Last updated in NPPESOct 2, 2026

Details

NPI
1720178445
Entity type
Individual (NPI-1)
Name
William M Russell
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 13, 2006
Certification date
Oct 2, 2026
Last updated
Oct 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0300X Internal Medicine, Geriatric MedicineD0030182MDYes
207R00000X Internal MedicineD0030182MD

Practice location

5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263

Phone 410-689-7400

Mailing address

17855 Dallas Pkwy Ste 200
Dallas, TX 75287-6857

Phone 800-834-3059

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