NPI: 1164566287
Provider Name: PROMEDICA CENTRAL PHYSICIANS, LLC
Doing Business As: TODD RUSSELL, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Organization
Specialization: Vascular Surgery
Address:
2109 HUGHES DR
SUITE 450
TOLEDO, OH
ZIP 43606
Phone: (419) 291-2003
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PROMEDICA CENTRAL PHYSICIANS, LLC is a vascular surgery surgery in Toledo, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PROMEDICA CENTRAL PHYSICIANS, LLC NPI is 1164566287. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Todd Russell, M.d..
The provider's business location address is:
2109 HUGHES DR
SUITE 450
TOLEDO, OH
ZIP 43606-856
Phone: (419) 291-2003
Fax: (419) 479-6977
The provider's authorized official is Kenya Dixon .
The authorized official title is Credentialing and has the following contact phone number (419) 824-7288.
The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.