Provider Demographics
NPI:1548207442
Name:VOSWINKEL, PATRICK J (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:VOSWINKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10475 MEDLOCK BRIDGE RD
Mailing Address - Street 2:SUITE 815
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-2002
Mailing Address - Country:US
Mailing Address - Phone:678-990-4828
Mailing Address - Fax:678-990-4824
Practice Address - Street 1:10475 MEDLOCK BRIDGE RD
Practice Address - Street 2:SUITE 815
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-2002
Practice Address - Country:US
Practice Address - Phone:678-990-4828
Practice Address - Fax:678-990-4824
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2010-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA042760207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA031810OtherAETNA
GA031810OtherAETNA