Individual
DR. ELIZABETH B RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1098
(419) 294-4991
(419) 294-4750
Mailing address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1098
(262) 515-3040
(419) 209-0278
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
27065
WI
207RR0500X
Rheumatology Physician
Primary
35138914
OH
207RR0500X
Rheumatology Physician
E-6331
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0394617
—
OH
01
—
1058858001
DIAMOND PROVIDER ID
WI
05
—
30686300
—
WI
01
—
81018
DEAN S.E MEDICAID
WI
Enumeration date
05/17/2006
Last updated
07/17/2020
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