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Gregg M Poquette Bs Dc Pa
Clinic/Center in Eagan, Minnesota
NPI 1902130750

Gregg M Poquette Bs Dc Pa is a Clinic/Center based in Eagan, MN. Gregg M Poquette Bs Dc Pa practices in Eagan, MN. The NPI Number for Gregg M Poquette Bs Dc Pa is 1902130750 and holds a License No. 2402 (Minnesota).

The current practice location address for Gregg M Poquette Bs Dc Pa 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
1902130750
Provider Name
Gregg M Poquette Bs Dc Pa
Credential
Provider Entity Type
Organization
Address
4660 Slater Rd, Eagan, MN, 55122-4047
Phone Number
651-452-3900
Fax Number
Provider Enumeration Date
09/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51364PO 01 MN BLUE CROSS
344328100 05 MN
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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