IndividualActive
Scott Russo, MD
NPI 1942298369 · Orthopaedic Surgery of the Spine Physician · Grand Rapids, MI
Provider details
- NPI number
- 1942298369
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301405099 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
750 E Beltline Ave Ne
Suite 301
Grand Rapids, MI 49525-6049
Phone: (616) 459-7101
Fax: (616) 942-6879
Approximate (ZIP-level) locationGet directions
Mailing address
1111 Leffingwell Ave Ne
Grand Rapids, MI 49525-6406
Registry dates
- Enumerated
- 2005-10-10
- Last updated
- 2013-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.