Individual
MICHAEL RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 BETHESDA RD STE 100, WINSTON SALEM, NC 27103-3300
(336) 774-1113
Mailing address
751 BETHESDA RD STE 100, WINSTON SALEM, NC 27103-3300
(336) 774-1113
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1667
NC
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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