NPI | 1164566287 |
---|---|
Doing Business As | TODD RUSSELL, M.D. |
Entity Type | Organization |
Authorized Contact | KENYA DIXON Credentialing 419-824-7288 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-08-22 |