Provider Demographics
NPI:1639143662
Name:VOIGT, DONNA M (APNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:VOIGT
Suffix:
Gender:F
Credentials:APNP
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Other - Last Name:
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Mailing Address - Street 1:1185 CORPORATE CENTER DR STE 175
Mailing Address - Street 2:PROHEALTH CARE MEDICAL ASSOCIATES
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-4889
Mailing Address - Country:US
Mailing Address - Phone:262-928-8400
Mailing Address - Fax:262-928-8484
Practice Address - Street 1:1185 CORPORATE CENTER DR STE 175
Practice Address - Street 2:PROHEALTH CARE MEDICAL ASSOCIATES
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-4889
Practice Address - Country:US
Practice Address - Phone:262-928-8400
Practice Address - Fax:262-928-8484
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2014-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI2098363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43975900Medicaid
WIP73172Medicare UPIN
WI683750750Medicare PIN