Individual
DR. RUSSELL FREDERICK LABEAU JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 ROLLING HILLS LN, PETOSKEY, MI 49770-9602
(231) 347-5682
(231) 347-5682
Mailing address
402 ROLLING HILLS LN, PETOSKEY, MI 49770-9602
(231) 347-5682
(231) 347-5682
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301026523
MI
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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