LEONARD WILLIAM RUSSO

SOUTHFIELD, MI
NPI1902905979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601001728)
Enumeration Date2006-09-22
Last Update Date2007-07-08
Business Address
Mr. LEONARD WILLIAM RUSSO PA-C
22255 GREENFIELD RD
SOUTHFIELD, MI 48075-3710
Phone number: 248-849-3066
Mailing Address
Mr. LEONARD WILLIAM RUSSO PA-C
34461 MORNINGDALE DR
STERLING HEIGHTS, MI 48312-5743
Phone number: 586-264-5946
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