Individual provider · Type 1 NPI

Michael Russo, D.C. QME

Chiropractor · Garden Grove, CA

NPI number 1801824362 Active

Practice location

12362 Euclid St
Garden Grove, CA 92840-3308

Call (714) 534-5712 Map

Fax (714) 534-3581

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC22452 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1801824362

Michael Russo, D.C. QME's National Provider Identifier is 1801824362, issued on Jun 30, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Garden Grove, CA. The record was last updated on Jul 8, 2007.