Individual
DR. RUSSELL W WILLEMIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
912 E GRAND RIVER AVE, PORTLAND, MI 48875-1664
(517) 647-7585
(517) 647-2666
Mailing address
912 E GRAND RIVER AVE, PO BOX 368, PORTLAND, MI 48875-1664
(517) 647-7585
(517) 647-2666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004607
MI
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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