Provider Demographics
NPI:1164401204
Name:VOIGT, PAULET J (DPM)
Entity Type:Individual
Prefix:
First Name:PAULET
Middle Name:J
Last Name:VOIGT
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 180680
Mailing Address - Street 2:
Mailing Address - City:DELAFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53018-0680
Mailing Address - Country:US
Mailing Address - Phone:262-646-6280
Mailing Address - Fax:262-646-6284
Practice Address - Street 1:W194N16747 EAGLE DR
Practice Address - Street 2:STE L
Practice Address - City:JACKSON
Practice Address - State:WI
Practice Address - Zip Code:53037-9797
Practice Address - Country:US
Practice Address - Phone:262-677-1520
Practice Address - Fax:262-677-1521
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI769-025213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI391919503014OtherBLUE CROSS
WIP01633137OtherRAILROAD MEDICARE
WI43224300Medicaid
WI480025775OtherRAILROAD MEDICARE
WI86491Medicare ID - Type Unspecified
WIK400275096Medicare PIN
WI480025775OtherRAILROAD MEDICARE
WI4796790001Medicare NSC