Paul H Russo is a Family Medicine in Kaukauna, Wisconsin. Paul H Russo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Paul H Russo is 1164488458. The last update date is 2014-11-26.
Paul H Russo's current location address is 305 E 12th St, Kaukauna, Wisconsin. You can contact this provider via phone number 9207664656 and fax number 9207664659. The mailing address for Paul H Russo is 305 E 12th St, Kaukauna, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul H Russo |
|---|---|
| Address | 305 E 12th St, Kaukauna, Wisconsin |
| Phone Number | 9207664656 |
| Fax Number | 9207664659 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164488458 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2014-11-26 |
Provider Mailing Address Detail
| Address | 305 E 12th St |
|---|---|
| City | Kaukauna |
| State | Wisconsin (WI) |
| Post Code | 541302865 |
| Phone Number | 9207664656 |
| Fax Number | 9207664659 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 29508 |
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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 |
|---|---|---|---|
| 31591400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Paul H Russo by the Centers for Medicare & Medicaid Services?
The Paul H Russo has been assigned the NPI (National Provider Identifier) 1164488458 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Paul H Russo is located?
The Paul H Russo is situated at the following address: 305 E 12Th St, Kaukauna, WI, 541302865.
What is the Paul H Russo's area of specialization and corresponding taxonomy classification?
The Paul H Russo's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1164488458 to Paul H Russo?
The Centers for Medicare & Medicaid Services assigned the 1164488458 to Paul H Russo on 2006-04-25.
As of what date were the details pertaining to Paul H Russo last refreshed?
The information related to the Paul H Russo, including its address, specialty, and other relevant details, was last updated on 2014-11-26.