Healthcare Provider Details

I. General information

NPI: 1881685998
Provider Name (Legal Business Name): JULIE ZOLPER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE VOELKER PA

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 06/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE WI
53215
US

IV. Provider business mailing address

3003 W GOOD HOPE RD
MILWAUKEE WI
53209-2042
US

V. Phone/Fax

Practice location:
  • Phone: 414-384-5111
  • Fax:
Mailing address:
  • Phone: 414-352-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1409
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: