AMY GAUCK RUSSO

GRAND RAPIDS, MI
NPI1316619901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704302008)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TX  1052618)
Enumeration Date2021-10-01
Last Update Date2025-07-24
Business Address
AMY GAUCK RUSSO FNP
655 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546-8622
Phone number: 616-363-7690
Mailing Address
AMY GAUCK RUSSO FNP
655 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546-8622
Phone number: 616-363-7690