Provider Demographics
NPI:1033297528
Name:DELP, ARLEN R (DO)
Entity type:Individual
Prefix:
First Name:ARLEN
Middle Name:R
Last Name:DELP
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:100 - 15TH AVE.
Mailing Address - Street 2:STE. 180
Mailing Address - City:SOUTH MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53172-1160
Mailing Address - Country:US
Mailing Address - Phone:262-827-2959
Mailing Address - Fax:262-827-2948
Practice Address - Street 1:14555 W. NATIONAL AVENUE
Practice Address - Street 2:STE. 165
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-4494
Practice Address - Country:US
Practice Address - Phone:262-827-2959
Practice Address - Fax:262-827-2948
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-03-14
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Provider Licenses
StateLicense IDTaxonomies
WI16381207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI68015-0001Medicare PIN