Individual
DR. LINDA SARA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 624-4031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
295212
NY
207P00000X
Emergency Medicine Physician
Primary
66411
MN
Other
Enumeration date
07/01/2014
Last updated
10/08/2020
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