All Medicaid billing entities listing DETLEFSEN, PHILLIP (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $1K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GREAT LAKES CHIROPRACTIC LLC | MAPLE GROVE, MN | Chiropractor | $1K |