Individual
BENJAMIN DELLARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
618 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-3800
Mailing address
618 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-3800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66415
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
04/27/2018
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