DR. Reggie Stanley Fuller, D.C.

NPI #1588858229 in Maple Lake, Minnesota

Provider Information

NPI Number: 1588858229
Entity Type: Individual
Name: DR. Reggie Stanley Fuller, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Sep 5, 2007
Last Updated: Jun 11, 2008

Practice Location

Address: 4027 37TH ST NW
City: Maple Lake
State: Minnesota
ZIP Code: 55358-3422
Phone: (612) 423-3158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Organizations

Provider Name	Specialty	City
Total Care Chiropractic, P.a.	Chiropractor	Maple Lake	AI Deep Dive

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