Individual
CHRISTOPHER ROSS RUSSO
Active
Individual
CHRISTOPHER ROSS RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301064161
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301064161
MI
Other
Enumeration date
09/08/2009
Last updated
04/12/2012
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