PAUL JOHN RUSSO

WINAMAC, IN
NPI1487668554
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02001842A)
Enumeration Date2006-07-27
Last Update Date2007-12-10
Business Address
Mr. PAUL JOHN RUSSO D.O.
222 S MONTICELLO ST
WINAMAC, IN 46996-1543
Phone number: 574-946-3245
Mailing Address
Mr. PAUL JOHN RUSSO D.O.
211 W WASHINGTON ST
CULVER, IN 46511-1541
Phone number: 574-842-2984
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