Dr. Michael Anthony Russo
Naturopath
499 Stevens Ave
Portland
, Maine 04103-2636
Dr. Michael Anthony Russo
Naturopath
499 Stevens Ave
Portland
, Maine 04103-2636
(207) 774-6688
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Dr. Michael Anthony Russo
- 499 Stevens Ave
- Portland, ME
- Zip : 04103-2636
- Phone : (207) 774-6688
Second Address
- Dr. Michael Anthony Russo
- 499 Stevens Ave
- Portland, ME
- Zip : 04103-2636
- Phone : (207) 774-6688
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | NP239 | ME |
National Provider Identifier
| NPI | 1023146644 |
|---|---|
| Provider Name | Dr. Michael Anthony Russo |
| First Address | Portland, ME 04103-2636 |
| Second Address | Portland, ME 04103-2636 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.