Organization
RUSSELL E. ST. CLAIR, D.C., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL ST.CLAIR D.C. (OWNER)
(419) 352-6172
Entity
Organization
Contact information
Practice address
1250 RIDGEWOOD DR, BOWLING GREEN, OH 43402-2664
(419) 352-6172
(419) 352-8633
Mailing address
1250 RIDGEWOOD DR, BOWLING GREEN, OH 43402-2664
(419) 352-6172
(419) 352-8633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
412
OH
Other
Enumeration date
10/19/2007
Last updated
09/13/2010
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