MRS. Trina Mary Russo, DPM

NPI #1174500862 in Eastpointe, Michigan

Provider Information

NPI Number: 1174500862
Entity Type: Individual
Name: MRS. Trina Mary Russo, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Dec 23, 2005
Last Updated: Dec 29, 2016

Practice Location

Address: 20967 KELLY RD
City: Eastpointe
State: Michigan
ZIP Code: 48021
Phone: (586) 779-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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