Randall Stoner Vollertsen
Rheumatology
4729 County Road 101
Minnetonka
, Minnesota 55345-2634
Randall Stoner Vollertsen
Rheumatology
4729 County Road 101
Minnetonka
, Minnesota 55345-2634
(612) 262-1166
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Randall Stoner Vollertsen
- 2925 Chicago Ave
- Minneapolis, MN
- Zip : 55407-1321
- Phone : (612) 262-1166
Second Address
- Randall Stoner Vollertsen
- 4729 County Road 101
- Minnetonka, MN
- Zip : 55345-2634
- Phone : (952) 974-3200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 22501 | MN |
National Provider Identifier
| NPI | 1093757866 |
|---|---|
| Provider Name | Randall Stoner Vollertsen |
| First Address | Minneapolis, MN 55407-1321 |
| Second Address | Minnetonka, MN 55345-2634 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 20/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 581525800 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.