Kerry Bruce Russell D.C., C.C.S.P.

NPI 1093714222 - Chiropractor - 111NS0005X

NPI Details
NPI 1093714222
Gender Male
Enumeration Date 07/19/2005
Last Updated 09/09/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
692 HANNAH AVE
SUITE A
TRAVERSE CITY MI, 49686-3110, US
Phone (231) 947-2228
Fax (231) 947-2616
Business Location
692 HANNAH AVE
SUITE A
TRAVERSE CITY MI, 49686-3110, US
Phone (231) 947-2228
Fax (231) 947-2616
Toxanomy
Taxonomy Code 111NS0005X
License State Michigan
License Number KR007665
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According to our database, Dr. Kerry Bruce Russell D.C., C.C.S.P. NPI is 1093714222, taxonomy code is 111NS0005X and license number is KR007665, license state is located at Michigan. Kerry Bruce Russell D.C., C.C.S.P. physically located at 692 Hannah Ave, Traverse City MI, 49686-3110. NPI Number Kerry Bruce Russell D.C., C.C.S.P. has the Individual type.

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1093714222 NPI number is provided on an as is basis without warranty of any kind. 1093714222 is maintained by the National Plan & Provider Enumeration System. The contents of Kerry Bruce Russell D.C., C.C.S.P. are for informational purposes only.