Gregg M Poquette B.s. D.c. P.a.

NPI 1033306147 - Clinic/Center - 261Q00000X

NPI Details
NPI 1033306147
Enumeration Date 10/02/2007
Last Updated 09/12/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGG MICHAEL GREGG
Position CEO
Phone (651) 452-3900
Fax
Practice Location
4660 SLATER RD
SUITE 140
EAGAN MN, 55122-4047, US
Phone (651) 452-3900
Fax
Business Location
4660 SLATER RD
SUITE 140
EAGAN MN, 55122-4047, US
Phone (651) 452-3900
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Minnesota
License Number 2402
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According to our database, Gregg M Poquette B.s. D.c. P.a. NPI is 1033306147, taxonomy code is 261Q00000X and license number is 2402, license state is located at Minnesota. Gregg M Poquette B.s. D.c. P.a. physically located at 4660 Slater Rd, Eagan MN, 55122-4047. NPI Number 1033115704 has the healthcare provider type.

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1033306147 NPI number is provided on an as is basis without warranty of any kind. 1033306147 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg M Poquette B.s. D.c. P.a. are for informational purposes only.