Individual
WILLIAM RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 BROAD ST, ASHLAND, OH 44805-2910
(419) 605-0570
Mailing address
1105 BROAD ST, ASHLAND, OH 44805-2910
(419) 605-0570
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
IL.03374
OH
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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