Search › Michigan › 363LF0000X
Susan Russo
NPI 1629714936 · on the registry since 2022
Practice
- Address
- 14500 Hall Rd
Sterling Heights, MI 48313 - Phone
- (800) 653-6568
- Fax
- (313) 876-1305
- Organisation at this address
- Henry Ford Health System
Henry Ford Medical Center LakesideInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Additional practice sites
- 1403 Sugarwood Cres, Lasalle, ON
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 207Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-20
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 Michigan