Individual
NIKOLAS RICHARD SHILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14635 PENNOCK AVE STE 200, APPLE VALLEY, MN 55124-6587
(952) 432-0700
Mailing address
1410 LOOKOUT ST, STILLWATER, MN 55082-4611
(608) 225-5776
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7038
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992813737
—
MN
Enumeration date
01/02/2023
Last updated
01/02/2023
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