Individual
ASHLEY ROSEMAE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
419 E. PERKINS AVENUE, SANDUSKY, OH 44870
(419) 557-7455
(419) 557-7782
Mailing address
419 E. PERKINS AVENUE, SANDUSKY, OH 44870
(419) 557-7455
(419) 557-7782
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.146812
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443102
—
OH
01
—
35.146812
OH MEDICAL LICENSE
OH
Enumeration date
04/22/2021
Last updated
10/01/2024
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