Individual
MR. MICHAEL CARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 BURREED CT, ETNA, OH 43062-9638
(614) 824-8811
(740) 919-0258
Mailing address
PO BOX 1011, PATASKALA, OH 43062-1011
(614) 824-8811
(740) 919-0258
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
OH
Other
Enumeration date
05/13/2019
Last updated
06/11/2019
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