Provider Demographics
NPI:1073711008
Name:VOELKER, MARJORIE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:M
Last Name:VOELKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 RIVERSIDE AVENUE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454-1321
Mailing Address - Country:US
Mailing Address - Phone:612-641-1400
Mailing Address - Fax:612-341-1401
Practice Address - Street 1:2220 RIVERSIDE AVENUE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1321
Practice Address - Country:US
Practice Address - Phone:612-641-1400
Practice Address - Fax:612-341-1401
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12378122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist