Graff, Russell Jay

Graff, Russell Jay is an individual health care provider with primary practice located at 5901 Monclova Rd , Maumee OH 43537-1855. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Graff, Russell Jay can be contacted via phone (419) 893-5968.

Contact Information

Primary practice address
5901 Monclova Rd Maumee OH 43537-1855
Phone: (419) 893-5968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35073595 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35073595 Ohio

Profile Details

NPI number 1194795393
LBN Legal business name Graff, Russell Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 23rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194795393 NPPES
Ohio MEDICAID 2176998
Ohio Other 000000281779

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