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NPI Code Detail

MEDICARE: DANIELLE RUSAN

MEDICARE: DANIELLE RUSAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2101YP2500XProfessional Counselor6401018679MI

General Provider Information

NPI Number : 1568827079
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE RUSAN
Provider Business Mailing Address
First Line : 3830 PACKARD ST STE 250
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-2273
Country : US
Telephone Number : 734-413-7988
Fax Number :
Provider Business Practice Location Address
First Line : 3830 PACKARD ST STE 250
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-2273
Country : US
Telephone Number : 734-413-7988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2015
Last Update Date : 08/05/2025

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Directions to “ DANIELLE RUSAN ” Practice Location

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