Organization
METRO GOLDEN MEDICAL, LLC
Active
Other names
Uroguidance, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND S RUSSELL MD (OWNER)
(937) 367-4637
Entity
Organization
Contact information
Practice address
414 OAKWOOD AVE, OAKWOOD, OH 45409-2217
(937) 548-3063
Mailing address
PO BOX 932746, CLEVELAND, OH 44193-2746
(937) 548-3063
(937) 548-1371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35073039
OH
Other
Enumeration date
01/10/2007
Last updated
02/12/2019
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