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Individual

RUSSELL MAXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 349-1939
Mailing address
PO BOX 12490, TOLEDO, OH 43606-0090
(419) 349-1939

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
131101
OH

Other

Enumeration date
04/08/2014
Last updated
04/27/2017
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