Individual
BRETT A RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34.007452
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340305
ANTHEM BCBS
OH
05
—
2492315
—
OH
01
—
P00152828
RAILROAD MEDICARE
OH
Enumeration date
04/21/2006
Last updated
11/12/2013
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