Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Great Lakes Chiropractic LLC

Chiropractor in Maple Grove, MN · enumerated 2007 · authorized official Phillip Detlefsen, Owner.

Data current as of Jul 11, 2026 · sourced from CMS NPPES

National Provider Identifier

1326164773

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Registry record

Entity type Organization (Type 2)

Legal business name Great Lakes Chiropractic LLC

Practice address 13601 80th Cir N, Suite 210, Maple Grove, MN, 55369

Phone (763) 420-4635

Fax (763) 390-1381

Enumeration date Mar 21, 2007

Last updated in NPPES Jun 24, 2010

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License 4448 (MN) Primary

Authorized official

Name Phillip Detlefsen

Title Owner

Phone (763) 420-4635

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-06-24. Verify at npiregistry.cms.hhs.gov.

Where is Great Lakes Chiropractic LLC located?

The practice location on file with NPPES is in Maple Grove, MN.

Providers at this address

Browse all →

Phillip Detlefsen Chiropractor · Maple Grove, MN NPI 1316058605 Shaina Jackson Behavior Technician · Maple Grove, MN NPI 1871301994 Gao Nong Vang Behavior Analyst · Maple Grove, MN NPI 1730975624

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-06-24.