Michael Shane Russell, DC

NPI #1568151082 in West Monroe, Louisiana

Provider Information

NPI Number: 1568151082
Entity Type: Individual
Name: Michael Shane Russell, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: May 1, 2023
Last Updated: May 1, 2023

Practice Location

Address: 403 N SIXTH STREET
Address 2: STE 8 AND STE 9
City: West Monroe
State: Louisiana
ZIP Code: 71291
Phone: (318) 303-6142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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