Michael Anthony Russo N.D.

NPI 1023146644 - Naturopath - 175F00000X

NPI Details
NPI 1023146644
Gender Male
Enumeration Date 03/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
499 STEVENS AVE
PORTLAND ME, 04103-2636, US
Phone (207) 774-6688
Fax
Business Location
499 STEVENS AVE
PORTLAND ME, 04103-2636, US
Phone (207) 774-6688
Fax
Toxanomy
Taxonomy Code 175F00000X
License State Maine
License Number NP239
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According to our database, Dr. Michael Anthony Russo N.D. NPI is 1023146644, taxonomy code is 175F00000X and license number is NP239, license state is located at Maine. Michael Anthony Russo N.D. physically located at 499 Stevens Ave, Portland ME, 04103-2636. NPI Number Michael Anthony Russo N.D. has the Individual type.

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1023146644 NPI number is provided on an as is basis without warranty of any kind. 1023146644 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Anthony Russo N.D. are for informational purposes only.