Individual provider · Type 1 NPI

Michael A. Russell, DC

Chiropractor · Lakewood, OH

NPI number 1962502880 Active

Practice location

18624 Detroit Ave
Lakewood, OH 44107-3202

Fax (216) 221-2820

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3307 (OH)

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.

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About NPI 1962502880

Michael A. Russell, DC's National Provider Identifier is 1962502880, issued on Sep 22, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lakewood, OH. The record was last updated on Mar 6, 2012.