Individual
DR. MICHAEL J RUSSAMANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1410 INCARNATION DR, SUITE 204, CHARLOTTESVILLE, VA 22901-5708
(434) 817-7788
Mailing address
1410 INCARNATION DR, SUITE 204, CHARLOTTESVILLE, VA 22901-5708
(434) 817-7788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555800
VA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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