DR. PAUL RUSSO, MD

Family Medicine

Active Individual
NPI: 1164488458

Practice Address

305 E 12TH ST
Kaukauna, WI 54130

Phone: (920) 766-4656

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 0029508 (WI)

Frequently Asked Questions

NPI 1164488458 is the National Provider Identifier for DR. PAUL RUSSO, MD, a Family Medicine provider located in Kaukauna, WI. This NPI was enumerated on April 25, 2006.
DR. PAUL RUSSO, MD practices at 305 E 12TH ST, Kaukauna, WI 54130.

Quick Facts

NPI
1164488458
Type
Individual
Enumerated
Apr 25, 2006
Last Updated
Nov 26, 2014

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