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1245322023
SCOTT M RUSSO
LANSING, MI
NPI
1245322023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 014959)
Enumeration Date
2006-09-29
Last Update Date
2007-12-26
Business Address
-- SCOTT M RUSSO DO
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-2223
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Mailing Address
-- SCOTT M RUSSO DO
PO BOX 634280
CINCINNATI, OH 45263-0041
Phone number: 517-336-8080
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