Gregg M Poquette Bs DC PA

NPI #1902130750 in Eagan, Minnesota

Provider Information

NPI Number: 1902130750
Entity Type: Organization
Organization Name: Gregg M Poquette Bs DC PA
Primary Specialty: Clinic/Center
Enumeration Date: Sep 28, 2009
Last Updated: Sep 28, 2009

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 POQUETTE, D.C.
Title: CEO
Phone: (651) 452-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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