MEDICARE: DR. RUSSELL J STRUBLE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	RS068547	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RS068547	OTHER	MI	BCR LICENSE NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154355477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL J STRUBLE M.D.

Provider Business Mailing Address
First Line	:	200 S WENONA ST
Second Line	:	SUITE 100
City	:	BAY CITY
State	:	MI
Zip	:	48706-8820
Country	:	US
Telephone Number	:	989-892-6587
Fax Number	:	989-892-3140

Provider Business Practice Location Address
First Line	:	200 S WENONA ST
Second Line	:	SUITE 100
City	:	BAY CITY
State	:	MI
Zip	:	48706-8820
Country	:	US
Telephone Number	:	989-892-6587
Fax Number	:	989-892-3140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	10/08/2011

Similar Medicare Providers

1114875028 — MADISON JANE WHITESEL
Practice Location Address:

200 S WENONA ST STE 195170
BAY CITY, MI
48706-8820

Practice Phone: 313-497-2665
Practice Fax:

1255393401 — MRS. THERESA M. WEAVER M.A., L.P.C.
Practice Location Address:

200 S WENONA ST , DEPT-TOTAL FAMILY HEALTH CARE STE 170
BAY CITY, MI
48706-8820

Practice Phone: 989-893-6162
Practice Fax:

1255393153 — MRS. CYNTHIA K HACK LMSW, CSW
Practice Location Address:

200 S WENONA ST , SUITE G29
BAY CITY, MI
48706-8820

Practice Phone: 989-893-3212
Practice Fax: 989-893-0461

1770531451 — VISITING NURSE SERVICES OF MICHIGAN
Practice Location Address:

200 S WENONA ST
BAY CITY, MI
48706-8820

Practice Phone: 810-496-8641
Practice Fax: 810-496-8655

1669490769 — DR. SUBBARAO CHAVALI M.D.
Practice Location Address:

200 S WENONA ST , SUITE G 28
BAY CITY, MI
48706-8820

Practice Phone: 989-893-8116
Practice Fax: 989-893-8151

1831105956 — JAMES A GUIGELAAR MD
Practice Location Address:

200 S WENONA ST , SUITE 225
BAY CITY, MI
48706-8820

Practice Phone: 989-893-9705
Practice Fax: 989-893-8206

Directions to “ DR. RUSSELL J STRUBLE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.