NPI 1033442231
Christopher Ross Russo, MD
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
Pain Medicine (Anesthesiology) Physician
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.