Individual
MARIA RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1047
(614) 544-1028
Mailing address
59 HANFORD STREET, COLUMBUS, OH 43206-4730
(574) 298-1744
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.015612
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
08/13/2022
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