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Contact Information

RUSSELL C DESMARAIS, DC, DABCI
1036 CLEVELAND AVE S
SAINT PAUL, MN55116-1826
 Phone: 651-330-9456
 Fax: 651-330-9843
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for RUSSELL C DESMARAIS · (Male)

NPI Number 1669728309
Status Active
Credentials DC, DABCI
Entity Individual
Enumeration date 07/31/2012
Last updated 03/02/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1397
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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