Individual
PAUL JOHN VOLLMAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
512 SKYLINE BLVD, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 879-9167
Mailing address
512 SKYLINE BLVD, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 879-9167
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48413
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
48413
MN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
23596
NE
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
36476
IA
Other
Enumeration date
05/05/2006
Last updated
10/19/2021
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