Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael G Russo MD a Professionsl LLC

Organization Family Medicine Physician · NPI 1710146808

Michael G Russo MD a Professionsl LLC is a Family Medicine Physician in Marrero, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 Medical Center Blvd Ste S 555
Marrero, LA 70072-3151
Phone: (504) 349-6808
Fax: (504) 367-8579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD09346R (LA)

Record details

NPI number1710146808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Russo — Physician · (504) 349-6808
NPI enumeratedJune 4, 2008
Last updated in NPPESJanuary 27, 2009
Mailing address1111 Medical Center Blvd, Suite S 555, Marrero, LA 70072-3151

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