Edward Leslie Requet, DC

NPI #1790735488 in Chanhassen, Minnesota

Provider Information

NPI Number: 1790735488
Entity Type: Individual
Name: Edward Leslie Requet, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: May 11, 2006
Last Updated: Feb 9, 2011

Practice Location

Address: 600 MARKET STREET
Address 2: SUITE 260 REQUET CHIROPRACTIC WELLNESS CENTER
City: Chanhassen
State: Minnesota
ZIP Code: 55317
Phone: (952) 975-2959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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