SearchMichigan363A00000X

Danielle Russo, PA-C

NPI 1700161312 · on the registry since 2011

Practice

Address
558 Ashmun St
Sault Sainte Marie, MI 49783
Phone
(906) 635-9090
Fax
(906) 635-9091
Organisation at this address
Lakeview Internal Medicine,P.C
Mymichigan Medical Center Sault
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-06

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