Randolph B Russo in Grand Rapids - Physical Medicine & Rehabilitation
Randolph B Russo - NPI 1306833470
Randolph B Russo is a Physical Medicine & Rehabilitation in Grand Rapids, Michigan. Randolph B Russo practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Randolph B Russo is 1306833470. The last update date is 2019-12-09.
Randolph B Russo's current location address is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164597101 and fax number 6164646170. The mailing address for Randolph B Russo is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph B Russo |
|---|---|
| Address | 1111 Leffingwell Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6164597101 |
| Fax Number | 6164646170 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306833470 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2019-12-09 |
Provider Mailing Address Detail
| Address | 1111 Leffingwell Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256406 |
| Phone Number | 6164597101 |
| Fax Number | 6164646170 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Medicine & Rehabilitation |
|---|---|
| Taxonomy | 208100000X |
| Licence No | 4301056466 |
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Definition: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin |
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What is the unique 10-digit identification code issued to Randolph B Russo by the Centers for Medicare & Medicaid Services?
The Randolph B Russo has been assigned the NPI (National Provider Identifier) 1306833470 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Randolph B Russo located?
The Randolph B Russo is located at 1111 Leffingwell Ave Ne, Grand Rapids, MI 495256406.
What is Randolph B Russo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randolph B Russo is Physical Medicine & Rehabilitation, and the taxonomy code that classifies this field of practice is 208100000X.
When did the Randolph B Russo receive its 1306833470?
The Randolph B Russo was issued its 1306833470 on 2005-10-04, which is the date when the organization was assigned this unique identifier.
When was the information regarding Randolph B Russo most recently updated?
The details pertaining to the Randolph B Russo, including its address, specialty, and other relevant information, were last refreshed on 2019-12-09.