person
Mr. Leonard William Russo, PA-C
Medical Physician Assistant in Southfield, Michigan
NPI 1902905979

Leonard William Russo is a Medical Physician Assistant based in Sterling Heights, MI and is specialized in Medical. Leonard William Russo practices in Southfield, MI and has the professional credentials of PA-C. The NPI Number for Leonard William Russo is 1902905979 and holds a License No. 5601001728 (Michigan).

The current practice location address for Leonard William Russo is 22255 Greenfield Rd, Southfield, MI and can be reached out via phone at 248-849-3066.

Location: 22255 Greenfield Rd, Southfield, MI, 48312-5743
person
Provider Profile Details
NPI Number
1902905979
Provider Name
Leonard William Russo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
22255 Greenfield Rd, Southfield, MI, 48312-5743
Phone Number
248-849-3066
Fax Number
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
22255 Greenfield Rd
City
State
Zip
48075-3710
Phone Number
248-849-3066
Fax Number
person
Provider Business Mailing Address Details
Address
22255 Greenfield Rd
City
State
Zip
48075-3710
Phone Number
248-849-3066
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601001728 (Michigan)
Definition
Definition to come...
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