Individual
TODD E RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
35074626
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000493404
ANTHEM
OH
01
—
03444
PARAMOUNT
OH
01
—
10221
HEALTH PLAN OF MI
OH
01
—
21-01841
UHC
OH
05
—
2215678
—
OH
05
—
4957870
—
MI
01
—
5773778
AETNA
OH
01
—
P00366278
RRMC
OH
Enumeration date
07/19/2005
Last updated
11/03/2023
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