Individual
REBECCA L RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 CLEVELAND RD, WOOSTER, OH 44691-2204
(330) 287-4898
Mailing address
6000 W CREEK RD, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35083338
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2556121
—
OH
Enumeration date
04/26/2006
Last updated
02/13/2008
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