RANDALL STONER VOLLERTSEN M.D.
NPI 1093757866
Internal Medicine - Rheumatology in Minnetonka, MN

Active since June 13, 2006
4729 COUNTY ROAD 101, MINNETONKA, MN 55345(952) 974-3200 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randall Stoner Vollertsen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL STONER VOLLERTSEN M.D. (NPI 1093757866) is an individual rheumatology provider in Minnetonka, Minnesota, licensed in Minnesota (22501) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1093757866
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameRANDALL STONER VOLLERTSENCredential: M.D.
Location Address4729 COUNTY ROAD 101Minnetonka, MN 55345-2634
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-1166
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateJanuary 20, 2015
NPI 1093757866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MN · 22501
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4729 COUNTY ROAD 101, Minnetonka, MN 55345

Other Identifiers 1

Medicaid581525800MN

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4729 COUNTY ROAD 101
MINNETONKA, MN 55345
Physician Assistant
4729 COUNTY ROAD 101
MINNETONKA, MN 55345
Internal Medicine (Rheumatology)
4729 COUNTY ROAD 101
MINNETONKA, MN 55345
Massage Therapist
4729 COUNTY ROAD 101
MINNETONKA, MN 55345
Physician Assistant
4729 COUNTY ROAD 101
MINNETONKA, MN 55345
Physician Assistant
4729 COUNTY ROAD 101
MINNETONKA, MN 55345
Physician Assistant
4729 COUNTY ROAD 101
MINNETONKA, MN 55345
Family Medicine
4729 COUNTY ROAD 101
MINNETONKA, MN 55345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Vollertsen's NPI number?

The NPI number for Randall Vollertsen is 1093757866. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Randall Vollertsen located?

Randall Vollertsen practices at 4729 County Road 101, Minnetonka, MN 55345. The listed phone number is (952) 974-3200.

What is Randall Vollertsen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

When was this NPI record last updated?

The NPPES record for Randall Vollertsen was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.