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

DR. PHILLIP JOHN DETLEFSEN, D.C.

Active

DR. PHILLIP JOHN DETLEFSEN, D.C. is a Chiropractor healthcare provider located in MAPLE GROVE, Minnesota. NPI 1316058605 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · MAPLE GROVE, MN

Registration Details

NPI Number
1316058605
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.956604071004 yrs)
Last Updated
Feb 17, 2010
License
4374 (MN)

Practice Information

Address
13601 80TH CIR N
SUITE L70
MAPLE GROVE, MN, 553698999
Browse MN providers · Browse ZIP 55369
Phone
7634204635
Fax
7633901381
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in MAPLE GROVE, MN

Name Credential NPI
MR. JAMES KENT NORD DC 1033172309
DR. SHANE ALEX BORODITSKY D.C. 1962517870
CAROLYN OHARA 1407967292
DR. KEITH MICHAEL JOHNSON DC 1568553147
DR. DOUGLAS SCOTT BROMAN DC 1962598052
CURTIS L. CICH D.C. 1093898132
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.