Dr. Russell Austin Fairbanks (D.C.) is a health care provider specializes in Chiropractor.
Practice Location | 408 N Third St, Rogers City, MI 49779-1309, US |
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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). | |
Specialty | Provider Type | Specialization | License | License State |
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Chiropractor | Chiropractic Providers | 2301005062 | Michigan | |
Provider Id | Issuer State | Issuer Type | Issuer |
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2967204 | Michigan | Medicaid | |
95OG150000 | Michigan | Other | BLUE CROSSBLUESHIELD |