person
Mario Russo
Student in an Organized Health Care Education/Training Program in Livonia, Michigan
NPI 1982464855

Mario Russo is a Student in an Organized Health Care Education/Training Program based in Livonia, MI. Mario Russo practices in Livonia, MI. The NPI Number for Mario Russo is 1982464855 and holds a License No. (Michigan).

The current practice location address for Mario Russo is 36475 Five Mile Rd, Livonia, MI and can be reached out via phone at 734-655-4800 and via fax at 734-655-2911.

Location: 36475 Five Mile Rd, Livonia, MI, 48154-1971
person
Provider Profile Details
NPI Number
1982464855
Provider Name
Mario Russo
Credential
Provider Entity Type
Individual
Gender
Male
Address
36475 Five Mile Rd, Livonia, MI, 48154-1971
Phone Number
734-655-4800
Fax Number
734-655-2911
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
36475 Five Mile Rd
City
State
Zip
48154-1971
Phone Number
734-655-4800
Fax Number
734-655-2911
person
Provider Business Mailing Address Details
Address
36475 Five Mile Rd
City
State
Zip
48154-1971
Phone Number
734-655-4800
Fax Number
734-655-2911
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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