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Russell Austin Fairbanks (D.C.)

Dr. Russell Austin Fairbanks (D.C.) is a health care provider specializes in Chiropractor.

profile-icon Basic Information

Practice Location 408 N Third St, Rogers City, MI 49779-1309, US
Practice Location Phone989-734-3384
Practice Location Fax989-734-7391
GenderMale
Specialty InChiropractor
NPI ?1528018355
Entity TypeIndividual
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-icon Specialties & Licenses of Russell Austin Fairbanks

SpecialtySpecializationLicenseLicense State
Chiropractor 2301005062Michigan

legacy-id-icon Legacy Provider IDs of Russell Austin Fairbanks

Provider IdIssuer StateIssuer TypeIssuer
T33534MichiganMedicare Upin
OG150006952MichiganMedicare Id-type Unspecified
95OG150000MichiganOtherBLUE CROSSBLUESHIELD
2967204MichiganMedicaid