Provider Demographics
NPI:1346474251
Name:PLATTETER, DESIREE' BROOKE (DC)
Entity Type:Individual
Prefix:DR
First Name:DESIREE'
Middle Name:BROOKE
Last Name:PLATTETER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 BLOOMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-3445
Mailing Address - Country:US
Mailing Address - Phone:923-221-6824
Mailing Address - Fax:
Practice Address - Street 1:10501 WAYZATA BLVD
Practice Address - Street 2:STE 100
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-5508
Practice Address - Country:US
Practice Address - Phone:952-221-6824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5227111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor