DR. Michael Anthony Russo, N.D.

NPI #1023146644 in Portland, Maine

Provider Information

NPI Number: 1023146644
Entity Type: Individual
Name: DR. Michael Anthony Russo, N.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Naturopath
Credential: N.D.
Enumeration Date: Mar 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 499 STEVENS AVE
City: Portland
State: Maine
ZIP Code: 04103-2636
Phone: (207) 774-6688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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