Edward L Requet DC PA
NPI #1073617320 in Chanhassen, Minnesota
Provider Information
- NPI Number
- 1073617320
- Entity Type
- Organization
- Organization Name
- Edward L Requet DC PA
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 8, 2006
- Last Updated
- Feb 3, 2011
Practice Location
- Address
- 600 MARKET ST
- Address 2
- SUITE 260 REQUET CHIROPRACTIC WELLNESS CENTER
- City
- Chanhassen
- State
- Minnesota
- ZIP Code
- 55317
- Phone
- (952) 975-2959
Authorized Official
- Name
- DR. EDWARD LESLIE REQUET, DC
- Title
- OWNER
- Phone
- (952) 975-2959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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