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Dr. Michael A Russell, DC
Chiropractor in Lakewood, Ohio
NPI 1962502880

Michael A Russell is a Chiropractor based in Lakewood, OH. Michael A Russell practices in Lakewood, OH and has the professional credentials of DC. The NPI Number for Michael A Russell is 1962502880 and holds a License No. 3307 (Ohio).

The current practice location address for Michael A Russell is 18624 Detroit Ave, Lakewood, OH and can be reached out via phone at 216-221-1788 and via fax at 216-221-2820.

Location: 18624 Detroit Ave, Lakewood, OH, 44107-3202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962502880
Provider Name
Michael A Russell
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
18624 Detroit Ave, Lakewood, OH, 44107-3202
Phone Number
216-221-1788
Fax Number
216-221-2820
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000232365 01 OH ANTHEM
2321553 05 OH
institution
Provider Business Practice Location Address Details
Address
18624 Detroit Ave
City
Lakewood
State
Ohio
Zip
44107-3202
Phone Number
216-221-1788
Fax Number
216-221-2820
person
Provider Business Mailing Address Details
Address
18624 Detroit Ave
City
Lakewood
State
Ohio
Zip
44107-3202
Phone Number
216-221-1788
Fax Number
216-221-2820
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3307 (Ohio)
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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