Provider Demographics
NPI:1700396678
Name:VOLZ, MIKEL
Entity Type:Individual
Prefix:
First Name:MIKEL
Middle Name:
Last Name:VOLZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 CARRIAGE HL APT 1
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2118
Mailing Address - Country:US
Mailing Address - Phone:319-784-7787
Mailing Address - Fax:
Practice Address - Street 1:718 CARRIAGE HL APT 1
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2118
Practice Address - Country:US
Practice Address - Phone:319-784-7787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program