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Edward L Requet Dc Pa
Chiropractor in Chanhassen, Minnesota
NPI 1073617320

Edward L Requet Dc Pa is a Chiropractor based in Chanhassen, MN. Edward L Requet Dc Pa practices in Chanhassen, MN. The NPI Number for Edward L Requet Dc Pa is 1073617320 and holds a License No. MN3177 (Minnesota).

The current practice location address for Edward L Requet Dc Pa is 600 Market St, Chanhassen, MN and can be reached out via phone at 952-975-2959 and via fax at 952-975-2973.

Location: 600 Market St, Chanhassen, MN, 55317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073617320
Provider Name
Edward L Requet Dc Pa
Credential
Provider Entity Type
Organization
Address
600 Market St, Chanhassen, MN, 55317
Phone Number
952-975-2959
Fax Number
952-975-2973
Provider Enumeration Date
09/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4C665RE 01 MN BLUE CROSS
4C666RE 01 MN BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
600 Market St
City
Chanhassen
State
Minnesota
Zip
55317
Phone Number
952-975-2959
Fax Number
952-975-2973
person
Provider Business Mailing Address Details
Address
600 Market St
City
Chanhassen
State
Minnesota
Zip
55317
Phone Number
952-975-2959
Fax Number
952-975-2973
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
MN3177 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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