| Doctor Name: | RUSSELL W. CREEL |
| NPI Number: | 1134265739 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 71002332A |
| Business Practice Address: | N453 Brush Rd Merrill, WI - 544529229 |
| Business Phone Number: | 7155364702 |
| Business Fax Number: | |
| Mailing Address: | N453 Brush Rd, MERRILL |
| State: | WI |
| Postal Code: | 544529229 |
| Phone Number: | 7155364702 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 01/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71002332A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |