Healthcare Provider Details

I. General information

NPI: 1598549552
Provider Name (Legal Business Name): DR. PATRICK VOLLMER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6376 S 35TH ST APT 2
FRANKLIN WI
53132-8706
US

IV. Provider business mailing address

6376 S 35TH ST APT 2
FRANKLIN WI
53132-8706
US

V. Phone/Fax

Practice location:
  • Phone: 815-861-4166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number22027
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: