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Dr. Russell Frederick Labeau JR.
General Practice Physician in Petoskey, Michigan
NPI 1881908671

Russell Frederick Labeau JR. is a General Practice Physician based in Petoskey, MI. Russell Frederick Labeau JR. practices in Petoskey, MI. The NPI Number for Russell Frederick Labeau JR. is 1881908671 and holds a License No. 4301026523 (Michigan).

The current practice location address for Russell Frederick Labeau JR. is 402 Rolling Hills Ln, Petoskey, MI and can be reached out via phone at 231-347-5682 and via fax at 231-347-5682.

Location: 402 Rolling Hills Ln, Petoskey, MI, 49770-9602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881908671
Provider Name
Russell Frederick Labeau JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
402 Rolling Hills Ln, Petoskey, MI, 49770-9602
Phone Number
231-347-5682
Fax Number
231-347-5682
Provider Enumeration Date
08/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
402 Rolling Hills Ln
City
Petoskey
State
Michigan
Zip
49770-9602
Phone Number
231-347-5682
Fax Number
231-347-5682
person
Provider Business Mailing Address Details
Address
402 Rolling Hills Ln
City
Petoskey
State
Michigan
Zip
49770-9602
Phone Number
231-347-5682
Fax Number
231-347-5682
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301026523 (Michigan)
Definition
Definition to come...
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