Individual
DR. BRIAN W. RUSS
Active
Individual
DR. BRIAN W. RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
58606
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000731123
ANTHEM BC/BS
OH
01
—
3380966
UNITED HEALTHCARE
OH
01
—
759842
AETNA
OH
01
—
7766410
CIGNA
OH
01
—
P00977283
RAILROAD MEDICARE
—
Enumeration date
08/09/2006
Last updated
08/03/2016
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