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Mr. David Melvin Russeau
Student in an Organized Health Care Education/Training Program in Port Huron, Michigan
NPI 1306353230

David Melvin Russeau is a Student in an Organized Health Care Education/Training Program based in Port Huron, MI. David Melvin Russeau practices in Port Huron, MI. The NPI Number for David Melvin Russeau is 1306353230 and holds a License No. (Michigan).

The current practice location address for David Melvin Russeau is 2514 Petit St, Port Huron, MI and can be reached out via phone at 810-434-9501.

Location: 2514 Petit St, Port Huron, MI, 48060-7447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306353230
Provider Name
David Melvin Russeau
Credential
Provider Entity Type
Individual
Gender
Male
Address
2514 Petit St, Port Huron, MI, 48060-7447
Phone Number
810-434-9501
Fax Number
Provider Enumeration Date
12/30/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2514 Petit St
City
Port Huron
State
Michigan
Zip
48060-7447
Phone Number
810-434-9501
Fax Number
person
Provider Business Mailing Address Details
Address
2514 Petit St
City
Port Huron
State
Michigan
Zip
48060-7447
Phone Number
810-434-9501
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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