person
Martin T Russo JR., DO
Family Medicine Physician in Grand Haven, Michigan
NPI 1508876236

Martin T Russo JR. is a Family Medicine Physician based in Grand Haven, MI. Martin T Russo JR. practices in Grand Haven, MI and has the professional credentials of DO. The NPI Number for Martin T Russo JR. is 1508876236 and holds a License No. 5101014183 (Michigan).

The current practice location address for Martin T Russo JR. is 1310 Wisconsin Ave Ste 103, Grand Haven, MI and can be reached out via phone at 616-846-2640 and via fax at 616-846-3110.

Location: 1310 Wisconsin Ave Ste 103, Grand Haven, MI, 49417-2472
person
Provider Profile Details
NPI Number
1508876236
Provider Name
Martin T Russo JR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1310 Wisconsin Ave Ste 103, Grand Haven, MI, 49417-2472
Phone Number
616-846-2640
Fax Number
616-846-3110
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4094275 05 MI
institution
Provider Business Practice Location Address Details
Address
1310 Wisconsin Ave Ste 103
City
State
Zip
49417
Phone Number
616-846-2640
Fax Number
616-846-3110
person
Provider Business Mailing Address Details
Address
1310 Wisconsin Ave Ste 103
City
State
Zip
49417
Phone Number
616-846-2640
Fax Number
616-846-3110
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
5101014183 (Michigan)
Definition
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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