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NPI Code Detail

MEDICARE: PAUL D VOLKERT MD

MEDICARE:   PAUL D VOLKERT  MD
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
1207RC0000XCardiovascular Disease Physician29945WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1VOLKEPAUOTHERWIMERCYCARE INSURANCE

General Provider Information

NPI Number : 1437143435
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL D VOLKERT MD
Provider Business Mailing Address
First Line : 1000 MINERAL POINT AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-875-6686
Fax Number : 608-756-6289
Provider Business Practice Location Address
First Line : 1000 MINERAL POINT AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-875-6686
Fax Number : 608-756-6289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 11/14/2011

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