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Gregg M Poquette B.s. D.c. P.a.
Clinic/Center in Eagan, Minnesota
NPI 1033306147

Gregg M Poquette B.s. D.c. P.a. is a Clinic/Center based in Eagan, MN. Gregg M Poquette B.s. D.c. P.a. practices in Eagan, MN. The NPI Number for Gregg M Poquette B.s. D.c. P.a. is 1033306147 and holds a License No. 2402 (Minnesota).

The current practice location address for Gregg M Poquette B.s. D.c. P.a. is 4660 Slater Rd, Eagan, MN and can be reached out via phone at 651-452-3900.

Location: 4660 Slater Rd, Eagan, MN, 55122-4047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033306147
Provider Name
Gregg M Poquette B.s. D.c. P.a.
Credential
Provider Entity Type
Organization
Address
4660 Slater Rd, Eagan, MN, 55122-4047
Phone Number
651-452-3900
Fax Number
Provider Enumeration Date
10/02/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
344328100 05 MN
51364PO 01 MN BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
4660 Slater Rd
City
Eagan
State
Minnesota
Zip
55122-4047
Phone Number
651-452-3900
Fax Number
person
Provider Business Mailing Address Details
Address
4660 Slater Rd
City
Eagan
State
Minnesota
Zip
55122-4047
Phone Number
651-452-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
2402 (Minnesota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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