MARTIN T RUSSO

GRAND HAVEN, MI
NPI1508876236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101014183)
Enumeration Date2006-08-08
Last Update Date2018-06-11
Business Address
MARTIN T RUSSO DO
1310 WISCONSIN AVE STE 103
GRAND HAVEN, MI 49417
Phone number: 616-846-2640
Mailing Address
MARTIN T RUSSO DO
1310 WISCONSIN AVE STE 101
GRAND HAVEN, MI 49417-2472
Phone number: 616-847-5604
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