Organization
DELO SPORT AND STEM SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJORIE JEAN DELO MD (PRESIDENT)
(920) 632-7248
Entity
Organization
Contact information
Practice address
2595 DEVELOPMENT DR STE 140, GREEN BAY, WI 54311-4267
(920) 632-7248
(920) 632-4249
Mailing address
2595 DEVELOPMENT DR STE 140, GREEN BAY, WI 54311-4267
(920) 632-7248
(920) 632-4249
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
03/04/2020
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