Individual
DR. RUSSELL M WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2214 RICHLAND MALL, MANSFIELD, OH 44906-1249
(419) 529-8085
Mailing address
PO BOX 867, ASHLAND, OH 44805-0867
(419) 529-8085
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5603
OH
Other
Enumeration date
04/11/2007
Last updated
08/27/2014
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