Individual
GREGORY PAUL NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17787 KENWOOD TRL, LAKEVILLE, MN 55044-9493
(952) 435-3345
(952) 435-8895
Mailing address
17787 KENWOOD TRL, LAKEVILLE, MN 55044-9493
(952) 435-3345
(952) 435-8895
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1848
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12327NE
BCBS
MN
01
—
230618
CHIROCARE
MN
Enumeration date
06/12/2006
Last updated
07/08/2007
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