Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Reggie Stanley Fuller, DC

Individual provider Chiropractor · NPI 1588858229

Dr. Reggie Stanley Fuller, DC is a Chiropractor in Maple Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4027 37th St NW
Maple Lake, MN 55358-3422
Phone: (612) 423-3158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5014 (MN)

Record details

NPI number1588858229
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedSeptember 5, 2007
Last updated in NPPESJune 11, 2008

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