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Dr. Grant Louis Modory, DC
Chiropractor in Dundas, Minnesota
NPI 1548300932

Grant Louis Modory is a Chiropractor based in Dundas, MN. Grant Louis Modory practices in Dundas, MN and has the professional credentials of DC. The NPI Number for Grant Louis Modory is 1548300932 and holds a License No. 4075 (Minnesota).

The current practice location address for Grant Louis Modory is 303 Hester St W, Dundas, MN and can be reached out via phone at 507-645-0333 and via fax at 507-645-4047.

Location: 303 Hester St W, Dundas, MN, 55019-3970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548300932
Provider Name
Grant Louis Modory
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
303 Hester St W, Dundas, MN, 55019-3970
Phone Number
507-645-0333
Fax Number
507-645-4047
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54F47MO 01 MN BCBS INDIVIDUAL PROVIDER#
54F46CO 01 MN BLUECROSS BLUESHEILD
institution
Provider Business Practice Location Address Details
Address
303 Hester St W
City
Dundas
State
Minnesota
Zip
55019-3970
Phone Number
507-645-0333
Fax Number
507-645-4047
person
Provider Business Mailing Address Details
Address
303 Hester St W
City
Dundas
State
Minnesota
Zip
55019-3970
Phone Number
507-645-0333
Fax Number
507-645-4047
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4075 (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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