Provider Demographics
NPI:1730200619
Name:ARTER, DEB L (MD)
Entity type:Individual
Prefix:DR
First Name:DEB
Middle Name:L
Last Name:ARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7626 HIDDEN SAVANNAH CT
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-8103
Mailing Address - Country:US
Mailing Address - Phone:608-203-6546
Mailing Address - Fax:
Practice Address - Street 1:35 S MAIN ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-3922
Practice Address - Country:US
Practice Address - Phone:608-757-5566
Practice Address - Fax:608-757-5545
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI35532 0202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI3207440Medicaid
WIF94415Medicare UPIN
WI001784280Medicare ID - Type UnspecifiedMEDICARE