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
Show map & directions

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

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