DR. RUSSELL W WILLEMIN


Address: 912 E Grand River Ave, Portland, MI 48875-1664
Phone: 5176477585

DR. RUSSELL W WILLEMIN (NPI# 1033156369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033156369
Entity Type Individual
Full Name DR. RUSSELL W WILLEMIN
Credential D.C.
Practice Address 912 E Grand River Ave
Portland
MI 48875-1664
Mailing Address 912 E Grand River Ave
Po Box 368
Portland
MI 48875-1664
Practice Telephone 5176477585
Practice Fax Number 5176472666
Mailing Telephone 5176477585
Mailing Fax Number 5176472666
Enumeration Date 2006-06-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 2301004607 MI Chiropractic Providers

Office Location

Street Address 912 E GRAND RIVER AVE
City PORTLAND
State MI
Zip Code 48875-1664

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962456350 Jennifer M Culp Chiropractor 912 E Grand River Ave, Portland, MI 48875-1664 2006-05-20
1659774396 Williamson Chiropractic Plc Chiropractor 912 E Grand River Ave, Portland, MI 48875-1664 2014-10-08
1275808180 Jennifer Culp Chiropractic, Inc. Chiropractor 912 E Grand River Ave, Portland, MI 48875-1664 2012-03-12
1851543052 Discover Health, Plc Chiropractor 912 E Grand River Ave, Portland, MI 48875-1664 2008-10-21
1558512087 Jason Williamson Chiropractor 912 E Grand River Ave, Portland, MI 48875-1664 2008-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750635025 Gretchen Findlay Speech-Language Pathologist 1330 E. Grand River Ave., Suite B, Portland, MI 48875 2012-11-07
1902970734 Roger Duane Miller Dentist 811 West Grand River Ave, Portland, MI 48875 2006-11-20
1174612618 Tom's Pharmacy LLC Pharmacy 1462 E Grand River Ave, Portland, MI 48875 2006-10-12
1033168828 Jami M. Schneider Dentist 119 Bridge St., Portland, MI 48875 2006-05-09
1134197593 Charlene Ann Pahl Social Worker 212 Kent St Ste 5, Child and Family Wellness Counseling Ctr, Portland, MI 48875 2006-03-10
1932187911 Suzanne R Maystead Optometrist 1311 E Bridge Street, Portland, MI 48875 2006-01-09
1407143811 Nicole Ann Mccrumb Pharmacist 1339 E Grand River Ave, Portland, MI 48875 2011-07-06
1629617402 Roger A Doak Specialist/Technologist 1100 Ionia Rd, Portland, MI 48875-1035 2019-12-27
1518312032 Brenda Hiemstra Technician, Other 120 Bethel Dr, Portland, MI 48875-1104 2016-05-03
1750574950 Judy Ann Fryover Nurse Practitioner 427 W Grand River Ave, Portland, MI 48875-1122 2007-08-21
Find all providers in zip 48875

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700486958 Amy Elizabeth Goebel Chiropractor 5103 Se Stark St Apt B, Portland, OR 97215-1764 2020-10-27
1003423914 Evergreen Chiropractic PC Chiropractor 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 2020-09-24
1750993283 University of Western States Healthcare Inc Chiropractor 8000 Ne Tillamook St, Portland, OR 97213-6655 2020-08-17
1518587989 Kristy Pearl Arneson Chiropractor 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 2020-04-25
1770102956 Behireta Corbadzic Chiropractor 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 2020-04-08
1134754427 Bonnie Anderson Chiropractor 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 2020-03-06
1629601372 Megan Adele Robles Chiropractor 2100 Ne Broadway St Ste 255, Portland, OR 97232-1544 2020-02-20
1306479472 Naomi M Enos-burles Chiropractor 7332 Sw 13th Dr Apt A, Portland, OR 97219-2089 2020-02-18
1184256927 Michael Nicosia Chiropractor 207 Santa Monica St, Portland, TX 78374-2645 2020-02-10
1942832258 Tracy Yvonne Still Chiropractor 3905b Ne Grand Ave Unit B, Portland, OR 97212-1107 2020-02-05
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 48875

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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