Individual
JACOB JOSEPH RUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 479-5831
(419) 479-5799
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57.253399
OH
207R00000X
Internal Medicine Physician
2021022587
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495256
—
OH
Enumeration date
06/17/2021
Last updated
11/04/2025
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