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
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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