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

Trevor Louis Russo, DO

Individual provider Surgery Physician · NPI 1649111212

Trevor Louis Russo, DO is a Surgery Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

100 Michigan St NE Ste A601
Grand Rapids, MI 49503-2560
Phone: (616) 391-6243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5151017995 (MI)

Record details

NPI number1649111212
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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