| 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 |