Provider Demographics
NPI:1588746655
Name:OPFERKEW, RODNEY ADAM (DC)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:ADAM
Last Name:OPFERKEW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5402 W OLD SHAKOPEE RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-3117
Mailing Address - Country:US
Mailing Address - Phone:952-925-4847
Mailing Address - Fax:952-925-4211
Practice Address - Street 1:7200 MINNETONKA BLVD
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-3210
Practice Address - Country:US
Practice Address - Phone:952-925-4847
Practice Address - Fax:952-925-4211
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN4499111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor