person
Dr. Reggie Stanley Fuller, DC
Chiropractor in Maple Lake, Minnesota
NPI 1588858229

Reggie Stanley Fuller is a Chiropractor based in Spring Park, MN. Reggie Stanley Fuller practices in Maple Lake, MN and has the professional credentials of DC. The NPI Number for Reggie Stanley Fuller is 1588858229 and holds a License No. 5014 (Minnesota).

The current practice location address for Reggie Stanley Fuller is 4027 37Th St Nw, Maple Lake, MN and can be reached out via phone at 612-423-3158.

Location: 4027 37Th St Nw, Maple Lake, MN, 55384-4512
person
Provider Profile Details
NPI Number
1588858229
Provider Name
Reggie Stanley Fuller
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4027 37Th St Nw, Maple Lake, MN, 55384-4512
Phone Number
612-423-3158
Fax Number
Provider Enumeration Date
09/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4027 37Th St Nw
City
State
Zip
55358-3422
Phone Number
612-423-3158
Fax Number
person
Provider Business Mailing Address Details
Address
4027 37Th St Nw
City
State
Zip
55358-3422
Phone Number
612-423-3158
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
5014 (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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