RANDOLPH B RUSSO

GRAND RAPIDS, MI
NPI1306833470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MI  4301056466)
Enumeration Date2005-10-04
Last Update Date2019-12-09
Business Address
Dr. RANDOLPH B RUSSO MD
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
Mailing Address
Dr. RANDOLPH B RUSSO MD
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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