Individual
STEPHEN J DELVENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E 2ND ST, RICHLAND CENTER, WI 53581-1900
(608) 647-6161
(608) 647-3178
Mailing address
301 E 2ND ST, RICHLAND CENTER, WI 53581-1900
(608) 647-6161
(608) 647-3178
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19478
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30313300
—
WI
Enumeration date
08/03/2005
Last updated
01/23/2008
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