MICHAEL ANTHONY RUSSO

PORTLAND, ME
NPI1023146644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175F00000X Naturopath
(Licence: ME  NP239)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
Dr. MICHAEL ANTHONY RUSSO N.D.
499 STEVENS AVE
PORTLAND, ME 04103-2636
Phone number: 207-774-6688
Mailing Address
Dr. MICHAEL ANTHONY RUSSO N.D.
499 STEVENS AVE
PORTLAND, ME 04103-2636
Phone number: 207-774-6688