Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Danielle Marie Russo, PA-C

Individual provider Physician Assistant · NPI 1700161312

Miss. Danielle Marie Russo, PA-C is a Physician Assistant in Sault Sainte Marie, Michigan. Qualified in 2011, 15 years ago. Practices with Mymichigan Medical Center Sault, a 102-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

558 Ashmun St
Sault Sainte Marie, MI 49783-4001
Phone: (906) 635-9090
Fax: (906) 635-9091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006193 (MI)

Record details

NPI number1700161312
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 14, 2011
Last updated in NPPESApril 6, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mymichigan Medical Center Sault — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Sault Sainte Marie