Edward Leslie Requet, DC
Chiropractor in Chanhassen, MN. Individual provider (NPI-1).
NPI number1790735488
StatusActive
Last updated in NPPESFeb 9, 2011
Details
- NPI
- 1790735488
- Entity type
- Individual (NPI-1)
- Name
- Edward Leslie Requet
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2006
- Last updated
- Feb 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | MN3177 | MN | Yes |
Practice location
600 Market StreetSuite 260 Requet Chiropractic Wellness Center
Chanhassen, MN 55317
Phone 952-975-2959 · Fax 952-975-2973
Mailing address
600 Market StreetSuite 260
Chanhassen, MN 55317
Phone 952-975-2959 · Fax 952-975-2973
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All 36 Chiropractor providers in Chanhassen · All 359 providers in Chanhassen
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