Russo, Anthony Michael

Russo, Anthony Michael is an sole proprietor health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Russo, Anthony Michael can be contacted via phone (248) 898-5000.

Contact Information

Primary practice address
3601 W 13 Mile Rd Royal Oak MI 48073-6712
Phone: (248) 898-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1750950275 Michigan
Nursing Service Providers / General Practice 163WG0000X 4704317005 Michigan

Profile Details

NPI number 1750950275
LBN Legal business name Russo, Anthony Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2021
Last updated Oct 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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