Provider Demographics
NPI:1225595499
Name:VOEGELE, DANIEL EVAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EVAN
Last Name:VOEGELE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 VALLEY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-4617
Mailing Address - Country:US
Mailing Address - Phone:952-491-3497
Mailing Address - Fax:
Practice Address - Street 1:6445 LAKE ROAD TER STE 302
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-1495
Practice Address - Country:US
Practice Address - Phone:651-294-2332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor