Provider Demographics
NPI:1376653261
Name:DRINKT, PAUL JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEPH
Last Name:DRINKT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N2665 COUNTY RD QQ
Mailing Address - Street 2:WISCONSIN VETERANS HOME
Mailing Address - City:KING
Mailing Address - State:WI
Mailing Address - Zip Code:54946
Mailing Address - Country:US
Mailing Address - Phone:715-258-4240
Mailing Address - Fax:
Practice Address - Street 1:N2665 COUNTY RD QQ
Practice Address - Street 2:WISCONSIN VETERANS HOME
Practice Address - City:KING
Practice Address - State:WI
Practice Address - Zip Code:54946
Practice Address - Country:US
Practice Address - Phone:715-258-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18687-020207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine