Individual
DR. GREGG MICHAEL POQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4660 SLATER RD, SUITE 140, EAGAN, MN 55122-4047
(651) 452-3900
(651) 452-3901
Mailing address
4660 SLATER RD, SUITE 140, EAGAN, MN 55122-4047
(651) 452-3900
(651) 452-3901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2402
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344328100
—
MN
01
—
51364PO
BLUE CROSS
MN
Enumeration date
10/24/2006
Last updated
09/12/2011
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