Healthcare Provider Details

I. General information

NPI: 1326048604
Provider Name (Legal Business Name): TODD ALAN VOLK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 12/27/2019
Certification Date: 12/27/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 DUNLAP ST N
SAINT PAUL MN
55104-4201
US

IV. Provider business mailing address

409 DUNLAP ST N
SAINT PAUL MN
55104-4201
US

V. Phone/Fax

Practice location:
  • Phone: 651-290-9200
  • Fax:
Mailing address:
  • Phone: 651-290-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4023
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6284
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: