Individual
MATTHEW REQUA CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
490 SNELLING AVE S, SAINT PAUL, MN 55116-1501
(651) 699-6044
(651) 699-2065
Mailing address
813 BADLANDS RD, HUDSON, WI 54016-7617
(715) 381-2852
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3033
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338028900
—
MN
Enumeration date
01/10/2007
Last updated
01/26/2011
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