Individual provider · Type 1 NPI
Ronald C. Russo, MD
Plastic and Reconstructive Surgery Physician · Champaign, IL
NPI number
1447380985
Active
Practice location
2504 Galen Drive, Suite 107
Champaign, IL 61821-7048
Fax (217) 373-5214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Other plastic and reconstructive surgery physician providers in Champaign
About NPI 1447380985
Ronald C. Russo, MD's National Provider Identifier is 1447380985, issued on Mar 6, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.