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Organization

DETTLING CHIROPRACTIC REHAB AND PERFORMANCE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL JEFFREY DETTLING D.C. M.S. (OWNER/ HEAD DOCTOR)
(763) 560-8980
Entity
Organization

Contact information

Practice address
615 66TH AVE N, BROOKLYN CENTER, MN 55430-1667
(763) 560-8980
(763) 560-0611
Mailing address
615 66TH AVE N STE 2, BROOKLYN CENTER, MN 55430-1666
(763) 560-8980
(763) 560-0611

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6125
MN

Other

Enumeration date
09/02/2015
Last updated
06/23/2025
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