NPI: 1326164773 · MAPLE GROVE, MN 55369 · Chiropractor · NPI assigned 03/21/2007
| Authorized Official | DETLEFSEN, PHILLIP (OWNER) |
| NPI Enumeration Date | 03/21/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 215 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 98940 | 215 | 134 | $1K |