MR. LEONARD WILLIAM RUSSO PA-C
NPI 1902905979
Physician Assistant - Medical in Southfield, MI

Active since September 22, 2006
22255 GREENFIELD RD, SOUTHFIELD, MI 48075(248) 849-3066 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Leonard William Russo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LEONARD WILLIAM RUSSO PA-C (NPI 1902905979) is an individual medical provider in Southfield, Michigan, licensed in Michigan (5601001728) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1902905979
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. LEONARD WILLIAM RUSSOCredential: PA-C
Location Address22255 GREENFIELD RDSouthfield, MI 48075-3710
Mailing Address34461 Morningdale DrSterling Heights, MI 48312-5743 · (586) 264-5946
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1902905979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601001728
22255 GREENFIELD RD, Southfield, MI 48075

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
22255 GREENFIELD RD, SUITE 400
SOUTHFIELD, MI 48075
Physical Therapist
22255 GREENFIELD RD
SOUTHFIELD, MI 48075
Nurse Practitioner (Occupational Health)
22255 GREENFIELD RD
SOUTHFIELD, MI 48075
Counselor
22255 GREENFIELD RD, #132
SOUTHFIELD, MI 48075
Social Worker (Clinical)
22255 GREENFIELD RD, SUITE 300
SOUTHFIELD, MI 48075
Physical Therapist
22255 GREENFIELD RD
SOUTHFIELD, MI 48075
Psychiatry & Neurology (Psychiatry)
22255 GREENFIELD RD, 132
SOUTHFIELD, MI 48075
Social Worker (Clinical)
22255 GREENFIELD RD, SUITE 300
SOUTHFIELD, MI 48075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard Russo's NPI number?

The NPI number for Leonard Russo is 1902905979. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Leonard Russo located?

Leonard Russo practices at 22255 Greenfield Rd, Southfield, MI 48075. The listed phone number is (248) 849-3066.

What is Leonard Russo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Leonard Russo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.