Samuel J Russo
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL


Address: 3040 Bourn St, Lewiston, MI 49756-8134
Phone: 9897864877

Samuel J Russo (NPI# 1962510636, PAC ID# 2062584683) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1962510636
PAC ID by PECOS 2062584683
Professional Enrollment ID I20130405000050
Full Name Samuel J Russo
Organization Legal Name MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Address 3040 Bourn St
Lewiston
MI 49756-8134
Phone Number 9897864877
Gender M
Medical School UNIVERSITY OF IOWA COLLEGE OF MEDICINE
Graduation Year 1984
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 8325942535
Number of Group Practice Members 64
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230133 OTSEGO MEMORIAL HOSPITAL
230058 MUNSON HEALTHCARE GRAYLING HOSPITAL

Other Locations

Address Phone Organization
3040 Bourn St, Lewiston, MI 49756-8134 9897864877 MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

Organization Information

Organization Legal Name MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Physicians 58

Physicians with the same organization

Name Specialty Organization Address
Logan Fredrik Hanson Orthopedic Surgery Munson Healthcare Otsego Memorial Hospital 2147 Professional Dr, Gaylord, MI 49735-0003
Robert A Beyerlein Certified Registered Nurse Anesthetist (crna) Munson Healthcare Otsego Memorial Hospital 825 N Ctr Ave, Gaylord, MI 49735-1592
Michael Donald Katona Nurse Practitioner Munson Healthcare Otsego Memorial Hospital 2572 N Us Hwy 131, Mhc Omh Medical Group Elmira, Elmira, MI 49730-8252
Yelena V Isayenko Family Medicine Munson Healthcare Otsego Memorial Hospital 829 N Ctr Ave, 260 Mhc Omh Medical Group Urology, Gaylord, MI 49735-1597
Lisa A Stier Nurse Practitioner Munson Healthcare Otsego Memorial Hospital 3040 Bourn St, Lewiston, MI 49756-8134
Lori F Schiller Nurse Practitioner Munson Healthcare Otsego Memorial Hospital 701 N Otsego Ave, Mhc Omh Cancer and Infusion Center, Gaylord, MI 49735-1558
Ronald A Weisberger Emergency Medicine Munson Healthcare Otsego Memorial Hospital 1996 Walden Dr, Mhc Omh Walk In Clinic, Gaylord, MI 49735-8241
David J Kurn Family Medicine Munson Healthcare Otsego Memorial Hospital 825 N Ctr Ave, Munson Healthcare Omh, Gaylord, MI 49735-1592
Wendy A Frye General Surgery Munson Healthcare Otsego Memorial Hospital 829 N Ctr Ave, 120 Mhc Omh Med. Group General Surgery, Gaylord, MI 49735-1598
John D Moffat General Surgery Munson Healthcare Otsego Memorial Hospital 829 N Ctr Ave, 120 Mhc Omh Med. Group General Surgery, Gaylord, MI 49735-1598

Office Location

Street Address 3040 BOURN ST
City LEWISTON
State MI
Zip 49756-8134

Physicians in the same location

Name Specialty Organization Address
Lisa A Stier Nurse Practitioner Munson Healthcare Otsego Memorial Hospital 3040 Bourn St, Lewiston, MI 49756-8134
Stephanie Rutterbush Family Medicine Munson Healthcare Otsego Memorial Hospital 3040 Bourn St, Lewiston, MI 49756-8134
Elsi Baccari Family Medicine Munson Healthcare Otsego Memorial Hospital 3040 Bourn St, Lewiston, MI 49756-8134

Physicians in the same zip code

Name Specialty Organization Address
Daniel R Woodruff Chiropractic 4556 Salling Ave, Lewiston, MI 49756-0028

Competitor

Search similar physicians

City LEWISTON
Zip Code 49756
Specialty FAMILY MEDICINE
City + Specialty LEWISTON + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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