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Edward Leslie Requet, DC
Chiropractor in Chanhassen, Minnesota
NPI 1790735488

Edward Leslie Requet is a Chiropractor based in Chanhassen, MN. Edward Leslie Requet practices in Chanhassen, MN and has the professional credentials of DC. The NPI Number for Edward Leslie Requet is 1790735488 and holds a License No. MN3177 (Minnesota).

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

Location: 600 Market Street, Chanhassen, MN, 55317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790735488
Provider Name
Edward Leslie Requet
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
600 Market Street, Chanhassen, MN, 55317
Phone Number
952-975-2959
Fax Number
952-975-2973
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4C666RE 01 MN BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
600 Market Street
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 Street
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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