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NPI Code Detail

MEDICARE: DR. DAVID AARON RUSSLER-GERMAIN MD PHD

MEDICARE: DR. DAVID AARON RUSSLER-GERMAIN MD PHD
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
1207R00000XInternal Medicine Physician2020031487MO
2207RX0202XMedical Oncology Physician2020031487MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821518036
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID AARON RUSSLER-GERMAIN MD PHD
Provider Business Mailing Address
First Line : PO BOX 7412011
Second Line :
City : CHICAGO
State : IL
Zip : 60674-2011
Country : US
Telephone Number : 314-454-8304
Fax Number : 314-454-5902
Provider Business Practice Location Address
First Line : 1 BARNES JEWISH HOSPITAL PLZ
Second Line : DIV IM BONE MARROW TRANSPLANT
City : SAINT LOUIS
State : MO
Zip : 63110-1003
Country : US
Telephone Number : 314-454-8304
Fax Number : 314-454-5902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 04/27/2026

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