Individual
DR. NATHANIEL DUANE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 MOUNT CARMEL MALL, COLUMBUS, OH 43222-1553
(614) 224-6420
(614) 224-6423
Mailing address
972 POPPY HILLS DR, BLACKLICK, OH 43004-8125
(614) 420-6344
(614) 759-6281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.082556
OH
Other
Enumeration date
05/01/2007
Last updated
05/20/2011
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