DR. RANDOLPH RUSSO, MD
Physical Medicine & Rehabilitation
Active
Individual
NPI: 1306833470
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Medicine & Rehabilitation | 208100000X | Yes | 4301056466 (MI) |
Frequently Asked Questions
NPI 1306833470 is the National Provider Identifier for DR. RANDOLPH RUSSO, MD, a Physical Medicine & Rehabilitation provider located in Grand Rapids, MI. This NPI was enumerated on October 4, 2005.
DR. RANDOLPH RUSSO, MD practices at 1111 LEFFINGWELL AVE NE, Grand Rapids, MI 49525.
Quick Facts
- NPI
- 1306833470
- Type
- Individual
- Enumerated
- Oct 4, 2005
- Last Updated
- Dec 9, 2019
Nearby Providers
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MR. THOMAS MAGNIFICO, RPH
Pharmacist
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MRS. JACQUELINE JOHANSON, P.A.-C
Physician Assistant
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DR. MARY STEVENS, D.D.S
Dentist - General Practice
-
CYNTHIA SALTER, M.A. CCC-SLP
Speech-Language Pathologist
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LINDSEY KRUEGER
Nurse Anesthetist, Certified Registered