Individual
RUSSELL JAY GRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 MONCLOVA RD, MAUMEE, OH 43537-1855
(419) 893-5968
Mailing address
2624 JODORE AVE, TOLEDO, OH 43606-2768
(419) 536-5186
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35073595
OH
207Q00000X
Family Medicine Physician
35073595
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281779
ANTHEM
OH
05
—
2176998
—
OH
Enumeration date
01/23/2006
Last updated
04/23/2008
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