Individual
DR. GRANT E NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16921 MANCHESTER RD SUITE B, WILDWOOD, MO 63040-3623
(314) 377-7050
Mailing address
16921 MANCHESTER RD SUITE B, WILDWOOD, MO 63040-3623
(314) 377-7050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2021022187
MO
111N00000X
Chiropractor
CHR.0008397
CO
Other
Enumeration date
07/12/2021
Last updated
08/28/2023
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