MR. RONALD RUSSO, MD

Surgery - Plastic and Reconstructive Surgery

Active Individual
NPI: 1447380985

Practice Address

2504 GALEN DRIVE
SUITE 107
Champaign, IL 61821

Phone: (217) 398-4856

Specialties

Specialty Code Primary License
Surgery - Plastic and Reconstructive Surgery 2086S0122X Yes -

Frequently Asked Questions

NPI 1447380985 is the National Provider Identifier for MR. RONALD RUSSO, MD, a Surgery - Plastic and Reconstructive Surgery provider located in Champaign, IL. This NPI was enumerated on March 6, 2007.
MR. RONALD RUSSO, MD practices at 2504 GALEN DRIVE, SUITE 107, Champaign, IL 61821.

Quick Facts

NPI
1447380985
Type
Individual
Enumerated
Mar 6, 2007
Last Updated
Jul 8, 2007

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