Individual
DR. JOHN ALBERT RUSS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5500 LARCHWOOD LN, TOLEDO, OH 43614-1249
(419) 867-0132
Mailing address
5500 LARCHWOOD LN, TOLEDO, OH 43614-1249
(419) 867-0132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.046437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372037
BLUE CROSS BLUE SHIELD
OH
01
—
000000387472
BLUE CROSS BLUE SHIELD
OH
01
—
P00290081
RAILROAD MEDICARE
OH
01
—
P00306243
RAILROAD MEDICARE
OH
Enumeration date
12/22/2005
Last updated
06/12/2025
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