Organization
RUSSELL CHIROPRACTIC HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUBERT WILLIAM RUSSELL JR. D.C. (DOCTOROWNER)
(734) 284-9800
Entity
Organization
Contact information
Practice address
15195 ALLEN RD., SOUTHGATE, MI 48195-2921
(734) 284-9800
(734) 284-9088
Mailing address
15195 ALLEN RD, SOUTHGATE, MI 48195-2921
(734) 284-9800
(734) 284-9088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
HR004208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2906559
—
MI
01
—
950H227880
BCBS OF MICHIGAN
MI
Enumeration date
11/29/2006
Last updated
01/16/2008
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