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
—
—
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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