Individual
DR. CHRISTOPHER GAVIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15195 ALLEN RD, SOUTHGATE, MI 48195-2921
(734) 284-9800
Mailing address
15195 ALLEN RD, SOUTHGATE, MI 48195-2921
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010232
MI
Other
Enumeration date
07/22/2014
Last updated
07/30/2014
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