Whalio Doctors

NPI 1033442231

Christopher Ross Russo, MD

Practitioner Interventional Pain Medicine Physician Grand Rapids, MI

Practice location

Address
710 Kenmoor Ave SE Suite 200, Grand Rapids, MI 49546-2379
Phone
(616) 588-7246
Fax
(616) 588-7086

Registered specialties (2)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 4301064161 (MI)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 4301064161 (MI)

Registry record

NPI
1033442231
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Sep 2009
Record last updated
12 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.