DR. Phillip John Detlefsen, D.C.
NPI #1316058605 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1316058605
- Entity Type
- Individual
- Name
- DR. Phillip John Detlefsen, D.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Feb 17, 2010
Practice Location
- Address
- 13601 80TH CIR N
- Address 2
- SUITE L70
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369-8999
- Phone
- (763) 420-4635
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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