Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gregory Wade Edstrom, DC

Individual provider Chiropractor · NPI 1447389119

Dr. Gregory Wade Edstrom, DC is a Chiropractic in Affton, Missouri. Graduated from Logan College of Chiropractic in 1973, 53 years ago. Practices as a sole proprietor. Licensed in Missouri.

Years since qualifying
53
Trained at
Logan College of Chiropractic
Licensed in
MO
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

5714 S Lindbergh Blvd #7
Affton, MO 63123-6955
Phone: (314) 842-4929
Fax: (314) 842-1829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 03699 (MO)

Record details

NPI number1447389119
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 8, 2007
Mailing address5714 S Lindbergh Blvd, 7, Affton, MO 63123-6955

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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