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Ms. Susan Marie Russo
Family Nurse Practitioner in Sterling Heights, Michigan
NPI 1629714936

Susan Marie Russo is a Family Nurse Practitioner based in Detroit, MI and is specialized in Family. Susan Marie Russo practices in Sterling Heights, MI. The NPI Number for Susan Marie Russo is 1629714936 and holds a License No. 4704189539 (Michigan).

The current practice location address for Susan Marie Russo is 14500 Hall Rd, Sterling Heights, MI and can be reached out via phone at 800-653-6568 and via fax at 313-876-1305.

Location: 14500 Hall Rd, Sterling Heights, MI, 48202-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629714936
Provider Name
Susan Marie Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
14500 Hall Rd, Sterling Heights, MI, 48202-3450
Phone Number
800-653-6568
Fax Number
313-876-1305
Provider Enumeration Date
05/10/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704189539 01 MI FAMILY NURSE PRACTITIONER
4704189539 05 MI
institution
Provider Business Practice Location Address Details
Address
14500 Hall Rd
City
Sterling Heights
State
Michigan
Zip
48313-1229
Phone Number
800-653-6568
Fax Number
313-876-1305
person
Provider Business Mailing Address Details
Address
14500 Hall Rd
City
Sterling Heights
State
Michigan
Zip
48313-1229
Phone Number
800-653-6568
Fax Number
313-876-1305
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4704189539 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704189539 (Michigan)
Definition
Definition to come...
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