DR. Gregory Wade Edstrom, D.C.

NPI #1447389119 in Affton, Missouri

Provider Information

NPI Number
1447389119
Entity Type
Individual
Name
DR. Gregory Wade Edstrom, D.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Mar 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5714 S LINDBERGH BLVD
Address 2
#7
City
Affton
ZIP Code
63123-6955
Phone
(314) 842-4929

Specialties & Taxonomy Codes

Specialty
Chiropractor

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