Individual provider · Type 1 NPI
Glenn Gerard Russo, MD
Procedural Dermatology Physician · Gretna, LA
Practice location
120 Meadowcrest St, Suite 160
Gretna, LA 70056-5255
Fax (504) 391-7624
Mailing address
600 Olive Ave
Harvey, LA 70058-4456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Procedural Dermatology Physician Primary | 207NS0135X | 017336 (LA) |
Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…
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About NPI 1083683445
Glenn Gerard Russo, MD's National Provider Identifier is 1083683445, issued on Mar 16, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Gretna, LA. The record was last updated on Feb 3, 2010.