| Organization Name: | HHHPSMI-1 PLLC |
| NPI Number: | 1952535262 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRANDON AARON RUSSELL (PHYSICIAN) |
| Mailing Address: | 309 W Michigan Ave Marshall |
| State: | MI US |
| Postal Code: | 490681524 |
| Phone Number: | 2697892523 |
| Fax Number: | |
| NPI Enumeration Date: | 05/14/2009 |
| NPI Last Update Date: | 04/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |