Provider Demographics
NPI:1750465290
Name:VOELLER, ROCHUS KEN-ICHI (MD)
Entity Type:Individual
Prefix:DR
First Name:ROCHUS
Middle Name:KEN-ICHI
Last Name:VOELLER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-1603
Practice Address - Street 1:640 JACKSON ST - MC 11503K
Practice Address - Street 2:HEHEALTHPARTNERS REGIONS SPECIALTY CLINICS
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:651-254-2987
Practice Address - Fax:651-254-1603
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2012-09-07
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Provider Licenses
StateLicense IDTaxonomies
MO2005032739208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery