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Mrs. Trina Mary Russo, DPM
Podiatrist in Eastpointe, Michigan
NPI 1174500862

Trina Mary Russo is a Podiatrist based in Clinton Township, MI. Trina Mary Russo practices in Eastpointe, MI and has the professional credentials of DPM. The NPI Number for Trina Mary Russo is 1174500862 and holds a License No. TR001571 (Michigan).

The current practice location address for Trina Mary Russo is 20967 Kelly Rd, Eastpointe, MI and can be reached out via phone at 586-779-8600 and via fax at 586-779-2019.

Location: 20967 Kelly Rd, Eastpointe, MI, 48038-4093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174500862
Provider Name
Trina Mary Russo
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
20967 Kelly Rd, Eastpointe, MI, 48038-4093
Phone Number
586-779-8600
Fax Number
586-779-2019
Provider Enumeration Date
12/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2760454 05 MI
480E020980 01 MI BS MICH
5505057 01 BS MI
institution
Provider Business Practice Location Address Details
Address
20967 Kelly Rd
City
Eastpointe
State
Michigan
Zip
48021
Phone Number
586-779-8600
Fax Number
586-779-2019
person
Provider Business Mailing Address Details
Address
20967 Kelly Rd
City
Eastpointe
State
Michigan
Zip
48021
Phone Number
586-779-8600
Fax Number
586-779-2019
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
TR001571 (Michigan)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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