Healthcare Provider Details

I. General information

NPI: 1164401204
Provider Name (Legal Business Name): PAULET J. VOIGT D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 05/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W194N16747 EAGLE DR STE L
JACKSON WI
53037-9797
US

IV. Provider business mailing address

PO BOX 180680
DELAFIELD WI
53018-0680
US

V. Phone/Fax

Practice location:
  • Phone: 262-677-1520
  • Fax: 262-677-1521
Mailing address:
  • Phone: 262-646-6280
  • Fax: 262-646-6284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number769-025
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: