Individual
DR. RICHARD JOSEPH DEKLOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4025 N 92ND ST, MILWAUKEE, WI 53222-1613
(414) 358-5431
(414) 358-5421
Mailing address
4025 N 92ND ST, MILWAUKEE, WI 53222-1613
(414) 358-5431
(414) 358-5421
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
62714
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039324
—
WI
Enumeration date
04/04/2013
Last updated
10/10/2023
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