DR. Kerry Bruce Russell, D.C., C.C.S.P.
NPI #1093714222 in Traverse City, Michigan
Provider Information
- NPI Number
- 1093714222
- Entity Type
- Individual
- Name
- DR. Kerry Bruce Russell, D.C., C.C.S.P.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor - Sports Physician
- Credential
- D.C., C.C.S.P.
- Enumeration Date
- Jul 19, 2005
- Last Updated
- Sep 9, 2011
Practice Location
- Address
- 692 HANNAH AVE
- Address 2
- SUITE A
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49686-3110
- Phone
- (231) 947-2228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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