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Dr. Shanon Robert Ray, DC
Chiropractor in East Grand Forks, Minnesota
NPI 1164603833

Shanon Robert Ray is a Chiropractor based in East Grand Forks, MN. Shanon Robert Ray practices in East Grand Forks, MN and has the professional credentials of DC. The NPI Number for Shanon Robert Ray is 1164603833 and holds a License No. 3582 (Minnesota).

The current practice location address for Shanon Robert Ray is 418 Demers Ave, East Grand Forks, MN and can be reached out via phone at 218-773-8403 and via fax at 218-773-9812.

Location: 418 Demers Ave, East Grand Forks, MN, 56721-1836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164603833
Provider Name
Shanon Robert Ray
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
418 Demers Ave, East Grand Forks, MN, 56721-1836
Phone Number
218-773-8403
Fax Number
218-773-9812
Provider Enumeration Date
11/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22582 01 ND BC/BS
2086882400 05 MN
12129 05 ND
71D82RA 01 MN BC/BS
institution
Provider Business Practice Location Address Details
Address
418 Demers Ave
City
East Grand Forks
State
Minnesota
Zip
56721-1836
Phone Number
218-773-8403
Fax Number
218-773-9812
person
Provider Business Mailing Address Details
Address
418 Demers Ave
City
East Grand Forks
State
Minnesota
Zip
56721-1836
Phone Number
218-773-8403
Fax Number
218-773-9812
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3582 (Minnesota)
Definition
A provider qualified by 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.
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