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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PAUL JEFFREY DETTLING, D.C.

Active Sole Proprietor

DR. PAUL JEFFREY DETTLING, D.C. is a Sports Physician (Chiropractor) healthcare provider located in BROOKLYN CENTER, Minnesota. NPI 1306213798 is currently active in the NPPES registry. Verify at CMS.

Sports Physician (Chiropractor) · BROOKLYN CENTER, MN

Registration Details

NPI Number
1306213798
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2015 (10.768578459109 yrs)
Last Updated
Sep 1, 2015
License
6125 (MN)
Sole Proprietor
Yes

Practice Information

Address
615 66TH AVE N
BROOKLYN CENTER, MN, 554301667
Browse MN providers · Browse ZIP 55430
Phone
7635608980
Primary Specialty
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.