Individual
PAUL LESLIE SHOGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2921 S FRONTAGE RD STE 3, MOORHEAD, MN 56560-2571
(218) 233-8544
(218) 233-8545
Mailing address
2921 S FRONTAGE RD STE 3, MOORHEAD, MN 56560-2571
(218) 233-8544
(218) 233-8545
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1896
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14258
—
ND
05
—
954827100
—
MN
Enumeration date
09/14/2006
Last updated
07/01/2014
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