Individual
SHELTON GREY TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18425 DODD BLVD, LAKEVILLE, MN 55044-9019
(952) 232-1330
Mailing address
18425 DODD BLVD, LAKEVILLE, MN 55044-9019
(952) 232-1330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6235-12
WI
111N00000X
Chiropractor
Primary
7268
MN
111N00000X
Chiropractor
CHI-CHI-LIC-8000
MT
Other
Enumeration date
11/17/2022
Last updated
12/10/2024
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