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

Joseph Donald Russom

Individual provider Peer Specialist · NPI 1356077911

Joseph Donald Russom is a Peer Specialist in Muskegon, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1221 Shonat St
Muskegon, MI 49442-5363
Phone: (231) 666-4443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1356077911
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022

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