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NPI Code Detail

MEDICARE: FRITZ-HENRY VOLMAR MD

MEDICARE: FRITZ-HENRY VOLMAR 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
1207RG0100XGastroenterology Physician48094WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447351077
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRITZ-HENRY VOLMAR MD
Provider Business Mailing Address
First Line : 2805 N KNOXVILLE AVE
Second Line : SUITE 209
City : PEORIA
State : IL
Zip : 61604-2869
Country : US
Telephone Number : 309-524-9400
Fax Number :
Provider Business Practice Location Address
First Line : 2805 N KNOXVILLE AVE
Second Line : SUITE 209
City : PEORIA
State : IL
Zip : 61604-2869
Country : US
Telephone Number : 309-524-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 09/03/2010

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