Individual
DR. RYAN J RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
406 E SOUTH BLVD, CRAWFORDSVILLE, IN 47933-3762
(765) 362-1111
(765) 362-2609
Mailing address
406 E SOUTH BLVD, CRAWFORDSVILLE, IN 47933-3762
(765) 362-1111
(765) 362-2609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002880A
IN
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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