RICHARD D DALVE (NPI# 1669467882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669467882 |
Entity Type | Individual |
Full Name | RICHARD D DALVE |
Credential | MD |
Practice Address |
W12802 County Highway A Bowler WI 54416 |
Practice Telephone | 7157934144 |
Practice Fax Number | 7157935062 |
Mailing Telephone | 7157934144 |
Mailing Fax Number | 7157935062 |
Enumeration Date | 2005-09-14 |
Last Update Date | 2013-08-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 25233 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 30575700 | 05 | |
WI | BCBS | 569780652008 | 01 |
Street Address |
W12802 COUNTY HIGHWAY A |
City | BOWLER |
State | WI |
Zip Code | 54416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174518385 | Thomas Paul Wargo | Chiropractor | W12802 County Highway A, Bowler, WI 54416 | 2005-09-14 |
1720646433 | Jodie Colleen Skenandore | Counselor | W12802 County Highway A, Bowler, WI 54416 | 2019-05-29 |
1033677216 | Marlene B Miller | Counselor | W12802 County Highway A, Bowler, WI 54416 | 2019-03-07 |
1659767382 | Stockbridge-munsee Health and Wellness Center | Clinic/Center | W12802 County Highway A, Bowler, WI 54416 | 2015-04-09 |
1235346032 | Kathleen Mcclelland Swarts | Dentist | W12802 County Highway A, Bowler, WI 54416 | 2007-05-17 |
1013053024 | Robert Glendon Swarts | Dentist | W12802 County Highway A, Bowler, WI 54416 | 2007-01-29 |
1811067754 | David Axt | Pharmacist | W12802 County Highway A, Bowler, WI 54416-0086 | 2006-11-08 |
1528077849 | Jane Martha Morrow | Nurse Practitioner | W12802 County Highway A, Bowler, WI 54416 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730602442 | Jennifer Potts | Counselor | 6200 Excelsior Blvd Ste 204, St. Louis Park, MN 54416 | 2017-07-25 |
1285020701 | Donna L Powless | Counselor | W12802 Cty Hwy A, Bowler, WI 54416 | 2015-04-10 |
1629070180 | Stockbridge Munsee Community | Clinic/Center | W12802 Cty Rd A, Bowler, WI 54416 | 2005-08-15 |
1952891020 | Whitney Marie Schreiber | Registered Nurse | W12802 Cty Hwy A, Bowler, WI 54416 | 2018-05-15 |
1245686047 | Stockbridge Munsee Health and Wellness Center | Clinic/Center | W12802 Cty Hwy A, Bowler, WI 54416 | 2016-05-11 |
1013398387 | Paul Favela | Dentist | W12802 Cty Hwy A, Bowler, WI 54416 | 2015-06-12 |
1063731917 | Lisa Mohawk | Counselor | W12802 County Hwy A, Bowler, WI 54416 | 2010-05-18 |
1235302886 | Bowler School District | Local Education Agency (LEA) | 500 S Almon St, Bowler, WI 54416-0008 | 2008-04-03 |
1164871570 | Jeffrey A Langlois | Counselor | W12802 County Hwy A, Bowler, WI 54416-0086 | 2016-06-07 |
1942331467 | Stockbridge Munsee Community | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | W12802 County Road A, Bowler, WI 54416-0086 | 2007-03-08 |
Find all providers in zip 54416 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1104458025 | Lisa M Bender | General Practice | 213 Bergamont Blvd Apt 101, Oregon, WI 53575-3722 | 2020-02-08 |
1093368607 | New Medical Center, S.c. | General Practice | 160 Gateway Dr, Ste A, Waupun, WI 53963-2276 | 2019-07-23 |
1760946628 | Amie Jabang | General Practice | 534 Aztalan Dr, Madison, WI 53718-3205 | 2019-01-24 |
1750866828 | Fi-med Management Inc | General Practice | 333 Bishops Way Ste 122, Brookfield, WI 53005-6209 | 2018-09-25 |
1073017265 | Vincent Lucas David Fryer | General Practice | 2329 Sunny Ln Apt C, Suamico, WI 54313-7821 | 2018-03-21 |
1952846982 | Practice Partners Healthcare Group, S.c. | General Practice | 1434 Thelen Farm Trl, Houlton, WI 54082-2062 | 2016-12-29 |
1649647462 | Astia Health Clinical Services, Sc | General Practice | 630 S Central Ave Ste 303, Marshfield, WI 54449-4196 | 2015-08-27 |
1306237417 | Aaron Rosenberg | General Practice | 1516 W Mequon Rd Ste 103, Mequon, WI 53092-3264 | 2015-02-10 |
1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.