Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Russell, DO

Individual provider Surgery Physician · NPI 1538956743

Nicole Russell, DO is a Surgery Physician in Grand Blanc, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone: (810) 606-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5151017284 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5151017284 (MI)

Record details

NPI number1538956743
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address1 Genesys Pkwy, Grand Blanc, MI 48439-8065

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