Provider Demographics
NPI:1972672939
Name:FOLSKE, WADE K (DC)
Entity Type:Individual
Prefix:MR
First Name:WADE
Middle Name:K
Last Name:FOLSKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5851 DULUTH STREET
Mailing Address - Street 2:SUITE 319
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422
Mailing Address - Country:US
Mailing Address - Phone:763-546-0665
Mailing Address - Fax:763-540-9342
Practice Address - Street 1:5851 DULUTH STREET
Practice Address - Street 2:SUITE 319
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422
Practice Address - Country:US
Practice Address - Phone:763-546-0665
Practice Address - Fax:763-540-9342
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNMN4441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U99318Medicare UPIN