Search › Maine › 175F00000X
Michael Russo, N.D
NPI 1023146644 · on the registry since 2007 · sole proprietor
Practice
- Address
- 499 Stevens Ave
Portland, ME 04103 - Phone
- (207) 774-6688
- Organisation at this address
- Blooming Into Motherhood Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine