Dr. Russell Austin Fairbanks (D.C.) is a health care provider specializes in Chiropractor.
Basic Information| Practice Location | 408 N Third St, Rogers City, MI 49779-1309, US |
|---|---|
| Practice Location Phone | 989-734-3384 |
| Practice Location Fax | 989-734-7391 |
| Gender | Male |
| Specialty In | Chiropractor |
| NPI ? | 1528018355 |
| Entity Type | Individual |
| Enumeration Date ? | May 11, 2006 |
| Last Update Date ? | Jun 14, 2011 |
| Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). | |
Specialties & Licenses of Russell Austin Fairbanks| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Chiropractor | Chiropractic Providers | 2301005062 | Michigan | |
Legacy Provider IDs of Russell Austin Fairbanks| Provider Id | Issuer State | Issuer Type | Issuer |
|---|---|---|---|
| 2967204 | Michigan | Medicaid | |
| 95OG150000 | Michigan | Other | BLUE CROSSBLUESHIELD |
