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

Glenn Gerard Russo, MD

Individual provider Procedural Dermatology Physician · NPI 1083683445

Glenn Gerard Russo, MD is a Procedural Dermatology Physician in Gretna, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

120 Meadowcrest St Ste 160
Gretna, LA 70056-5255
Phone: (504) 391-7620
Fax: (504) 391-7624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 017336 (LA)

Record details

NPI number1083683445
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESFebruary 3, 2010
Mailing address600 Olive Ave, Harvey, LA 70058-4456

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