Individual provider · Type 1 NPI
Christopher Gavin Russell, DC
Chiropractor · Southgate, MI
NPI number
1154738144
Active
Practice location
15195 Allen Rd
Southgate, MI 48195-2921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2301010232 (MI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2 other providers at this address
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About NPI 1154738144
Christopher Gavin Russell, DC's National Provider Identifier is 1154738144, issued on Jul 22, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Southgate, MI. The record was last updated on Jul 30, 2014.