OrganizationActive
Great Lakes Chiropractic LLC
NPI 1326164773 · Chiropractor · Maple Grove, MN
Great Lakes Chiropractic LLC is a Chiropractor organization in Maple Grove, MN (NPI 1326164773).
Provider details
- NPI number
- 1326164773
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Phillip Detlefsen, Owner(763) 420-4635
- License
- 4448 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13601 80th Cir N
Suite 210
Maple Grove, MN 55369-8999
Phone: (763) 420-4635
Fax: (763) 390-1381
Approximate (ZIP-level) locationGet directions
Mailing address
13601 80th Cir N
Maple Grove, MN 55369-8999
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2010-06-24
Frequently asked questions
- What is Great Lakes Chiropractic LLC's NPI number?
- Great Lakes Chiropractic LLC's National Provider Identifier (NPI) is 1326164773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Chiropractic LLC?
- Great Lakes Chiropractic LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Great Lakes Chiropractic LLC located?
- Great Lakes Chiropractic LLC's practice location on file with NPPES is 13601 80th Cir N, Maple Grove, MN 55369-8999.
- What is Great Lakes Chiropractic LLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Chiropractic LLC is (763) 420-4635.
- Who is the authorized official for Great Lakes Chiropractic LLC?
- The authorized official listed on Great Lakes Chiropractic LLC's NPPES record is Phillip Detlefsen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Chiropractic LLC's NPI active?
- Yes — Great Lakes Chiropractic LLC's NPI (1326164773) is active in the NPPES registry as of the last update on 2010-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.