Organization
MICHAEL B. RUSSO, MD, INC
Active
Other names
Honolulu Neuroscience Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRIAN RUSSO M.D (OWNER, DOCTOR)
(301) 775-8731
Entity
Organization
Contact information
Practice address
320 WARD AVE STE 107, HONOLULU, HI 96814-4016
(808) 294-3332
(808) 748-2920
Mailing address
320 WARD AVE STE 107, HONOLULU, HI 96814-4016
(808) 294-3332
(808) 748-2920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14968
HI
Other
Enumeration date
05/24/2011
Last updated
12/10/2024
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