Dr. Gregory Wade Edstrom is a Affton, Missouri based male chiropractor with 51 years of experience in General Chiropractor. He completed his graduation from Logan College Of Chiropractic in 1973. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Gregory Wade Edstrom as General Chiropractor is 03699 in Missouri. Dr. Gregory Wade Edstrom is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Gregory Wade Edstrom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
51+ years
Medical School Attended:
Logan College Of Chiropractic
Graduation Year:
1973
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
5714 S Lindbergh Blvd, #7, Affton, Missouri, 63123-6955
Phone:
314-842-4929
Fax:
314-842-1829
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4486795416
Enrollment ID:
I20100112000742
NPI Number:
1447389119
NPI Enumeration Date:
05 Mar, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gregory Wade Edstrom are as mentioned below.
License Number
Specialization
State
Status
03699
Chiropractor
Missouri
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5714 S Lindbergh Blvd, #7 Affton, Missouri
Zip:
63123-6955
Phone Number:
314-842-4929
Fax Number:
314-842-1829
Patients can reach Dr. Gregory Wade Edstrom at 5714 S Lindbergh Blvd, #7, Affton, Missouri or can call to book an appointment on 314-842-4929. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.