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David Lee Fairbanks, DC
Chiropractor in Gladstone, Michigan
NPI 1487702254

David Lee Fairbanks is a Chiropractor based in Gladstone, MI. David Lee Fairbanks practices in Gladstone, MI and has the professional credentials of DC. The NPI Number for David Lee Fairbanks is 1487702254 and holds a License No. 2301005132 (Michigan).

The current practice location address for David Lee Fairbanks is 510 S 9Th St, Gladstone, MI and can be reached out via phone at 906-428-1679 and via fax at 906-428-4643.

Location: 510 S 9Th St, Gladstone, MI, 49837-1613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487702254
Provider Name
David Lee Fairbanks
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
510 S 9Th St, Gladstone, MI, 49837-1613
Phone Number
906-428-1679
Fax Number
906-428-4643
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4356207 05 MI
950B15004 01 MI INDIVIDUAL BCBS #
institution
Provider Business Practice Location Address Details
Address
510 S 9Th St
City
Gladstone
State
Michigan
Zip
49837-1613
Phone Number
906-428-1679
Fax Number
906-428-4643
person
Provider Business Mailing Address Details
Address
510 S 9Th St
City
Gladstone
State
Michigan
Zip
49837-1613
Phone Number
906-428-1679
Fax Number
906-428-4643
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301005132 (Michigan)
Definition
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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