Individual
MR. ETHAN M DELEKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
333 N COMMERCIAL ST STE 100, NEENAH, WI 54956-2675
(920) 722-1750
Mailing address
PO BOX 814, NEW CUMBERLAND, WV 26047-0814
(304) 374-5039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8509-23
WI
Other
Enumeration date
12/06/2024
Last updated
07/25/2025
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