| Dr Russell Austin Fairbanks, DC | |
|
408 N Third St, Rogers City, MI 49779-1309 | |
| (989) 734-3384 | |
| (989) 734-7391 |
| Full Name | Dr Russell Austin Fairbanks |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 408 N Third St, Rogers City, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528018355 | NPI | - | NPPES |
| 2967204 | Medicaid | MI | |
| 95OG150000 | Other | MI | BLUE CROSSBLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301005062 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell Austin Fairbanks, DC Po Box 213, Rogers City, MI 49779-0213 Ph: (989) 734-3384 | Dr Russell Austin Fairbanks, DC 408 N Third St, Rogers City, MI 49779-1309 Ph: (989) 734-3384 |
Russell A Fairbanks, D.c.,p.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 408 N Third St, Rogers City, MI 49779 Phone: 989-734-3384 | |
Dr. David Albert Olree, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 784 Us Highway 23 N, Rogers City, MI 49779 Phone: 989-734-7144 Fax: 989-734-3874 | |
Peacock Family Chiropractic, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 408 N 3rd St, Rogers City, MI 49779 Phone: 989-734-3384 Fax: 989-734-7391 |