Individual provider · Type 1 NPI

Martin T. Russo Jr., DO

Family Medicine Physician · Grand Haven, MI

NPI number 1508876236 Active

Practice location

1310 Wisconsin Ave Ste 103
Grand Haven, MI 49417

Call (616) 846-2640 Map

Fax (616) 846-3110

Mailing address

1310 Wisconsin Ave, Ste 101
Grand Haven, MI 49417-2472

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	5101014183 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1508876236

Martin T. Russo Jr., DO's National Provider Identifier is 1508876236, issued on Aug 8, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Grand Haven, MI. The record was last updated on Jun 11, 2018.