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Individual

DR. RUSSELL ERIC MEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4100 M 139, SUITE 112, SAINT JOSEPH, MI 49085-8672
(269) 408-0303
(269) 408-0083
Mailing address
4100 M 139, SUITE 112, SAINT JOSEPH, MI 49085-8672
(269) 408-0303
(269) 408-0083

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009696
MI

Other

Enumeration date
10/29/2010
Last updated
02/02/2012
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