Great Lakes Chiropractic LLC
NPI 1326164773ActiveOrganization· Chiropractor· Maple Grove, MN
Chiropractor in Maple Grove, Minnesota, registered in NPPES in March 2007. The authorized official on file is Phillip J. Detlefsen, D.C., Owner.
Overview
| NPI | 1326164773 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2007 |
| Last updated in NPPES | Jun 24, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4448 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Chiropractor providers in Maple Grove
- 1548483050
- 1699049213
- 1225182892
- 1710125562
- 1942366679
- 1225198856
- 1013441443
- 1801087903
- 1487213377
- 1447442041
- 1659549020
- 1962670026