Paul Dettling


Address: 615 66th N Ave, Suite 2, Brooklyn Center, MN 55430-1666

Paul Dettling (NPI# 1306213798, PAC ID# 8325354368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1306213798
PAC ID by PECOS 8325354368
Professional Enrollment ID I20150904001882
Full Name Paul Dettling
Address 615 66th N Ave
Suite 2
Brooklyn Center
MN 55430-1666
Gender M
Medical School LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year 2015
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
615 66th N Ave, Suite 2, Brooklyn Center, MN 55430-1666

Organization Information

Office Location

Street Address 615 66TH N AVE
SUITE 2
City BROOKLYN CENTER
State MN
Zip 55430-1666

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Competitor

Search similar physicians

City BROOKLYN CENTER
Zip Code 55430
Specialty CHIROPRACTIC
City + Specialty BROOKLYN CENTER + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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