Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 64201 | MN |
N | 111NI0900X | Internist | 64201 | MN |
N | 207RA0201X | Internist - Allergy & Immunology | 2020011735 | MO |
Y | 207RA0201X | Internist - Allergy & Immunology | 2021003853 | MO |
NPI | 1578096855 |
---|---|
Provider Name | Dr. Dayne Henry Voelker |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63110-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2017 |
Last Update Date | 23/04/2021 |