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Organization

MICHAEL B RUSSO MD, INC

Active
Other names
Honolulu Neuroscience Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BRIAN RUSSO MD (OWNER)
(808) 294-3332
Entity
Organization

Contact information

Practice address
250 WARD AVE, SUITE #170, HONOLULU, HI 96814-4015
(808) 294-3332
Mailing address
8513 NE HAZEL DELL AVE, SUITE #102, VANCOUVER, WA 98665-8068
(360) 450-3926
(360) 450-3926

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD14968
HI

Other

Enumeration date
05/19/2015
Last updated
06/11/2019
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