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DR. PHILLIP JOHN DETLEFSEN D.C.
NPI 1316058605
Chiropractor in Maple Grove, MN

Active since August 31, 2006
13601 80TH CIR N, SUITE L70, MAPLE GROVE, MN 55369(763) 420-4635(763) 390-1381 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Phillip John Detlefsen D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP JOHN DETLEFSEN D.C. (NPI 1316058605) is an individual chiropractor in Maple Grove, Minnesota, licensed in Minnesota (4374) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1316058605
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. PHILLIP JOHN DETLEFSENCredential: D.C.
Location Address13601 80TH CIR N, SUITE L70Maple Grove, MN 55369-8999
Mailing Address13601 80th Cir N, Suite L70Maple Grove, MN 55369-8999 · (763) 420-4635 · Fax (763) 390-1381
Phone(763) 420-4635
Fax(763) 390-1381
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 17, 2010
✔ NPI 1316058605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4374
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.
13601 80TH CIR N, Maple Grove, MN 55369
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Other Identifiers 2

Medicare UPINU95882MN
Medicare ID-Type Unspecified350002914MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT LAKES CHIROPRACTIC LLC
Chiropractor
13601 80TH CIR N, SUITE 210
MAPLE GROVE, MN 55369
Hennepin County (763) 420-4635
GAO NONG ANGEL VANG
Behavior Analyst
13601 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (763) 250-1867
SHAINA JACKSON
Behavior Technician
13601 80TH CIR N
MAPLE GROVE, MN 55369
Hennepin County (310) 856-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Detlefsen's NPI number?

The NPI number for Phillip Detlefsen is 1316058605. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Phillip Detlefsen located?

Phillip Detlefsen practices at 13601 80th Cir N Suite L70, Maple Grove, MN 55369. The listed phone number is (763) 420-4635.

What is Phillip Detlefsen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Phillip Detlefsen accept?

Health plans from HealthPartners and Medica list Phillip Detlefsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phillip Detlefsen was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.