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Organization
PROMEDICA CENTRAL PHYSICIANS, LLC
Active
Organization
PROMEDICA CENTRAL PHYSICIANS, LLC
Active
Other names
Todd Russell, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA DIXON (CREDENTIALING)
(419) 824-7288
Entity
Organization
Contact information
Practice address
2109 HUGHES DR, SUITE 450, TOLEDO, OH 43606-3856
(419) 291-2003
(419) 479-6977
Mailing address
2109 HUGHES DR, SUITE 450, TOLEDO, OH 43606-3856
(419) 291-2003
(419) 479-6977
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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