Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Lakes Chiropractic LLC

Organization Chiropractor · NPI 1326164773

Great Lakes Chiropractic LLC is a Chiropractor in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13601 80th Cir N Ste 210
Maple Grove, MN 55369-8999
Phone: (763) 420-4635
Fax: (763) 390-1381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4448 (MN)

Record details

NPI number1326164773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Detlefsen — Owner · (763) 420-4635
NPI enumeratedMarch 21, 2007
Last updated in NPPESJune 24, 2010
Mailing address13601 80th Cir N, Suite 210, Maple Grove, MN 55369-8999

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