GREAT LAKES CHIROPRACTIC LLC is a chiropractor in Maple Grove, MN. The provider is 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. GREAT LAKES CHIROPRACTIC LLC NPI is 1326164773. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
13601 80TH CIR N
SUITE 210
MAPLE GROVE, MN
ZIP 55369-999
Phone: (763) 420-4635
Fax: (763) 390-1381
The provider's authorized official is Phillip J Detlefsen .
The authorized official title is Owner and has the following contact phone number (763) 420-4635.
The enumeration date for this NPI number is 3/21/2007 and was last updated on 6/24/2010.