Individual provider · Type 1 NPI

Russell Frederick Labeau Jr.

General Practice Physician · Petoskey, MI

NPI number 1881908671 Active

Practice location

402 Rolling Hills Ln
Petoskey, MI 49770-9602

Fax (231) 347-5682

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X4301026523 (MI)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1881908671

Russell Frederick Labeau Jr.'s National Provider Identifier is 1881908671, issued on Aug 4, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Petoskey, MI. The record was last updated on Aug 4, 2010.