Provider Demographics
NPI:1437367661
Name:GERALD M. VOELKER D.D.S.
Entity Type:Organization
Organization Name:GERALD M. VOELKER D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:VOELKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:715-423-7160
Mailing Address - Street 1:1980 7TH ST S
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-6017
Mailing Address - Country:US
Mailing Address - Phone:715-423-7160
Mailing Address - Fax:715-424-7337
Practice Address - Street 1:1980 7TH ST S
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-6017
Practice Address - Country:US
Practice Address - Phone:715-423-7160
Practice Address - Fax:715-424-7337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty