Individual provider · Type 1 NPI
Edward Leslie Requet, DC
Chiropractor · Chanhassen, MN
NPI number
1790735488
Active
Practice location
600 Market Street, Suite 260 Requet Chiropractic Wellness Center
Chanhassen, MN 55317
Fax (952) 975-2973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | MN3177 (MN) |
Chiropractor: 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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About NPI 1790735488
Edward Leslie Requet, DC's National Provider Identifier is 1790735488, issued on May 11, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chanhassen, MN. The record was last updated on Feb 9, 2011.