Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDOLPH B RUSSO, MD
ActiveDR. RANDOLPH B RUSSO, MD is a Physical Medicine & Rehabilitation healthcare provider located in GRAND RAPIDS, Michigan. NPI 1306833470 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1306833470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2005 (20.718024444587 yrs)
- Last Updated
- Dec 9, 2019
- License
-
4301056466 (MI)
Practice Information
- Address
-
1111 LEFFINGWELL AVE NEGRAND RAPIDS, MI, 495256406Browse MI providers · Browse ZIP 49525
- Phone
- 6164597101
- Fax
- 6164646170
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| JAMES R ELLIS | MD | 1710975156 |
| RANDAL A PALMITIER | MD | 1376531855 |
| DR. BENJAMIN LEE RAWSON | D.O. | 1902889397 |
| ROBERT WICHLACZ | MPT | 1487629085 |
| RAMIN RAHIMI | D.O. | 1639146624 |
| DR. RICHARD D BALL | M.D. | 1679523765 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.