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Dr. Charles E Russell, MD
Addiction Medicine (Preventive Medicine) Physician in Waynesville, Ohio
NPI 1245220912

Charles E Russell is an Addiction Medicine (Preventive Medicine) Physician based in Beavercreek, OH and is specialized in Addiction Medicine. Charles E Russell practices in Waynesville, OH and has the professional credentials of MD. The NPI Number for Charles E Russell is 1245220912 and holds a License No. 35050063 (Ohio).

The current practice location address for Charles E Russell is 415 S Main St, Waynesville, OH and can be reached out via phone at 513-897-7162.

Location: 415 S Main St, Waynesville, OH, 45434-6390
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245220912
Provider Name
Charles E Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 S Main St, Waynesville, OH, 45434-6390
Phone Number
513-897-7162
Fax Number
Provider Enumeration Date
10/25/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000546225 01 OH ANTHEM
0573348 05 OH
institution
Provider Business Practice Location Address Details
Address
415 S Main St
City
Waynesville
State
Ohio
Zip
45068-9553
Phone Number
513-897-7162
Fax Number
person
Provider Business Mailing Address Details
Address
415 S Main St
City
Waynesville
State
Ohio
Zip
45068-9553
Phone Number
513-897-7162
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
2083A0300X
License No.
35050063 (Ohio)
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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