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Dr. Phillip John Detlefsen, DC
Chiropractor in Maple Grove, Minnesota
NPI 1316058605

Phillip John Detlefsen is a Chiropractor based in Maple Grove, MN. Phillip John Detlefsen practices in Maple Grove, MN and has the professional credentials of DC. The NPI Number for Phillip John Detlefsen is 1316058605 and holds a License No. 4374 (Minnesota).

The current practice location address for Phillip John Detlefsen is 13601 80Th Cir N, Maple Grove, MN and can be reached out via phone at 763-420-4635 and via fax at 763-390-1381.

Location: 13601 80Th Cir N, Maple Grove, MN, 55369-8999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316058605
Provider Name
Phillip John Detlefsen
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
13601 80Th Cir N, Maple Grove, MN, 55369-8999
Phone Number
763-420-4635
Fax Number
763-390-1381
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13601 80Th Cir N
City
Maple Grove
State
Minnesota
Zip
55369-8999
Phone Number
763-420-4635
Fax Number
763-390-1381
person
Provider Business Mailing Address Details
Address
13601 80Th Cir N
City
Maple Grove
State
Minnesota
Zip
55369-8999
Phone Number
763-420-4635
Fax Number
763-390-1381
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4374 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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