MEDICARE: PAULET J. VOIGT D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	769-025	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01633137	OTHER	WI	RAILROAD MEDICARE
4	480025775	OTHER	WI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	391919503014	OTHER	WI	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164401204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULET J. VOIGT D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 180680
Second Line	:
City	:	DELAFIELD
State	:	WI
Zip	:	53018-0680
Country	:	US
Telephone Number	:	262-646-6280
Fax Number	:	262-646-6284

Provider Business Practice Location Address
First Line	:	W194N16747 EAGLE DR
Second Line	:	STE L
City	:	JACKSON
State	:	WI
Zip	:	53037-9797
Country	:	US
Telephone Number	:	262-677-1520
Fax Number	:	262-677-1521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	05/18/2016

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