| NPI | 1073617320 |
|---|---|
| Doing Business As | REQUET CHIROPRACTIC WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWARD LESLIE REQUET Owner 952-975-2959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN MN3177) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2011-02-03 |