Individual
DE ANTE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 ARLINGTON AVE, TOLEDO, OH 43614-2595
(330) 388-7856
Mailing address
2149 EVERGREEN RD APT 2, OTTAWA HILLS, OH 43606-2547
(330) 388-7856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.135938
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/02/2017
Last updated
03/04/2026
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