Russo, Leonard William
Russo, Leonard William is an individual health care provider with primary practice located at 22255 Greenfield Rd , Southfield MI 48075-3710. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Russo, Leonard William can be contacted via phone (248) 849-3066.Contact Information
Primary practice address
22255 Greenfield Rd
Southfield MI 48075-3710
Phone: (248) 849-3066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601001728 | Michigan |
Profile Details
| NPI number | 1902905979 |
|---|---|
| LBN Legal business name | Russo, Leonard William |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
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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