Individual
DR. GAVIN TODD PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
705 N WEBB RD, GRAND ISLAND, NE 68803-3311
(308) 384-4955
(308) 384-7088
Mailing address
303 OCONNELL ST, MARSHALL, MN 56258-2637
(507) 532-7458
(507) 532-5612
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4739
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246P3PA
BCBS
MN
01
—
48654
SIOUX VALLEY HEALTH PLAN
MN
05
—
929453800
—
MN
Enumeration date
10/19/2006
Last updated
10/06/2022
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