Individual
BENJAMIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 ARLINGTON AVE, TOLEDO, OH 43614-2595
(419) 383-4000
Mailing address
3000 ARLINGTON AVE, TOLEDO, OH 43614-2595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57.256161
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2023
Last updated
04/08/2024
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