Organization
GREAT LAKES CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP J DETLEFSEN D.C. (OWNER)
(763) 420-4635
Entity
Organization
Contact information
Practice address
13601 80TH CIR N, SUITE 210, MAPLE GROVE, MN 55369-8999
(763) 420-4635
(763) 390-1381
Mailing address
13601 80TH CIR N, SUITE 210, MAPLE GROVE, MN 55369-8999
(763) 420-4635
(763) 390-1381
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4448
MN
Other
Enumeration date
03/21/2007
Last updated
06/24/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us