RUSSELL A FAIRBANKS, D.C.,P.C.
Chiropractic at Third St, Rogers City, MI

License number
Michigan 2301005062
Category
Chiropractic
Type
Chiropractor
Owner
Name: RUSSELL FAIRBANKS D.C.
Title: PRESIDENT
Phone: (989) 734-3384
Address
Address
408 N Third St, Rogers City, MI 49779
National Provider ID: 1043527195
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RUSSELL A FAIRBANKS, D.C., PC

Rogers City, MI

Registration:
Aug 7, 1992
Addresses:
408 N 3 St, Rogers City, MI 49779 (Physical)
PO Box 213, Rogers City, MI 49779 (Mailing)
State ID:
429866
Business type:
Domestic Professional Service Corporation
Agent:
Russell A Fairbanks

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