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Martin Russo, DO
NPI 1508876236 · on the registry since 2006
Practice
- Address
- 1310 Wisconsin Ave Ste 103
Grand Haven, MI 49417 - Phone
- (616) 846-2640
- Fax
- (616) 846-3110
- Organisation at this address
- Robert W Dixon Jr Md Pc
Norman R. Boeve, M.D.,P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan