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Benjamin Dellaria
Student in an Organized Health Care Education/Training Program in Chilton, Wisconsin
NPI 1942695713

Benjamin Dellaria is a Student in an Organized Health Care Education/Training Program based in Chilton, WI. Benjamin Dellaria practices in Chilton, WI. The NPI Number for Benjamin Dellaria is 1942695713 and holds a License No. 66415 (Wisconsin).

The current practice location address for Benjamin Dellaria is 618 Memorial Dr, Chilton, WI and can be reached out via phone at 920-849-3800.

Location: 618 Memorial Dr, Chilton, WI, 53014-1568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942695713
Provider Name
Benjamin Dellaria
Credential
Provider Entity Type
Individual
Gender
Male
Address
618 Memorial Dr, Chilton, WI, 53014-1568
Phone Number
920-849-3800
Fax Number
Provider Enumeration Date
03/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
618 Memorial Dr
City
Chilton
State
Wisconsin
Zip
53014-1568
Phone Number
920-849-3800
Fax Number
person
Provider Business Mailing Address Details
Address
618 Memorial Dr
City
Chilton
State
Wisconsin
Zip
53014-1568
Phone Number
920-849-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
66415 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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