Martin T Russo in Grand Haven - Family Medicine
Martin T Russo - NPI 1508876236
Martin T Russo is a Family Medicine in Grand Haven, Michigan. Martin T Russo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Martin T Russo is 1508876236. The last update date is 2018-06-11.
Martin T Russo's current location address is 1310 Wisconsin Ave, Grand Haven, Michigan. You can contact this provider via phone number 6168475604 and fax number 6168460141. The mailing address for Martin T Russo is 1310 Wisconsin Ave, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin T Russo |
|---|---|
| Address | 1310 Wisconsin Ave, Grand Haven, Michigan |
| Phone Number | 6168475604 |
| Fax Number | 6168460141 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1508876236 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2018-06-11 |
Provider Mailing Address Detail
| Address | 1310 Wisconsin Ave |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 494172472 |
| Phone Number | 6168475604 |
| Fax Number | 6168460141 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101014183 |
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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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4094275 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Martin T Russo by the Centers for Medicare & Medicaid Services?
The Martin T Russo has been assigned the NPI (National Provider Identifier) 1508876236 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Martin T Russo is physically located?
The Martin T Russo is physically situated at the following address: 1310 Wisconsin Ave, Grand Haven, MI, 494172472.
What is Martin T Russo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Martin T Russo is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When did the Martin T Russo receive its 1508876236?
The Martin T Russo was issued its 1508876236 on 2006-08-08, which is the date when the organization was assigned this unique identifier.
When was the information related to Martin T Russo most recently updated or refreshed?
The details pertaining to the Martin T Russo, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-06-11.