Provider Demographics
NPI:1972892370
Name:SENK, ALEXANDER MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MATTHEW
Last Name:SENK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2848 KENWOOD ISLES DR
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-1977
Mailing Address - Country:US
Mailing Address - Phone:330-883-4271
Mailing Address - Fax:
Practice Address - Street 1:1 VETERANS DRIVE
Practice Address - Street 2:VA MEDICAL CENTER - DEPT. OF PM&R
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417
Practice Address - Country:US
Practice Address - Phone:612-725-2044
Practice Address - Fax:612-467-5604
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-00822208100000X, 2081S0010X, 208D00000X
390200000X
MN573182081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program