Gregg M Poquette B.s. D.c. P.a.

NPI #1033306147 in Eagan, Minnesota

Provider Information

NPI Number: 1033306147
Entity Type: Organization
Organization Name: Gregg M Poquette B.s. D.c. P.a.
Primary Specialty: Clinic/Center
Enumeration Date: Oct 2, 2007
Last Updated: Sep 12, 2011

Practice Location

Address: 4660 SLATER RD
Address 2: SUITE 140
City: Eagan
State: Minnesota
ZIP Code: 55122-4047
Phone: (651) 452-3900

Authorized Official

Name: DR. GREGG MICHAEL POQUETTE, D.C.
Title: CEO
Phone: (651) 452-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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