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Dr. Hubert William Russell JR., DC
Chiropractor in Southgate, Michigan
NPI 1720021231

Hubert William Russell JR. is a Chiropractor based in Southgate, MI. Hubert William Russell JR. practices in Southgate, MI and has the professional credentials of DC. The NPI Number for Hubert William Russell JR. is 1720021231 and holds a License No. HR004208 (Michigan).

The current practice location address for Hubert William Russell JR. is 15195 Allen Rd, Southgate, MI and can be reached out via phone at 734-284-9800 and via fax at 734-284-9088.

Location: 15195 Allen Rd, Southgate, MI, 48195-2921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720021231
Provider Name
Hubert William Russell JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
15195 Allen Rd, Southgate, MI, 48195-2921
Phone Number
734-284-9800
Fax Number
734-284-9088
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OQ25014 01 MI OLD BCBS #
2906559 05 MI
95OH227870 01 MI NEW GRP # AS OF 7-18-06
95OH227880 01 MI DR RUSSELL'S INDIVDUAL #
institution
Provider Business Practice Location Address Details
Address
15195 Allen Rd
City
Southgate
State
Michigan
Zip
48195-2921
Phone Number
734-284-9800
Fax Number
734-284-9088
person
Provider Business Mailing Address Details
Address
15195 Allen Rd
City
Southgate
State
Michigan
Zip
48195-2921
Phone Number
734-284-9800
Fax Number
734-284-9088
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
HR004208 (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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