Individual
DR. PAULA TOTH-RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD, SUITE 305, MISHAWAKA, IN 46545-1464
(574) 472-6700
(574) 335-0643
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8700
(574) 335-0760
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01042736A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000721959
BCBS
IN
05
—
100467060
—
IN
05
—
100467060A
—
IN
Enumeration date
09/28/2006
Last updated
04/02/2024
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