Martinelli, Dean Louis

Martinelli, Dean Louis is an individual health care provider with primary practice located at 888 Thackeray Trail Suite 108, Oconomowoc WI 53066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Martinelli, Dean Louis can be contacted via phone (262) 567-0505.

Contact Information

Primary practice address
888 Thackeray Trail Suite 108 Oconomowoc WI 53066
Phone: (262) 567-0505
Fax: (262) 567-0778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 18169 Wisconsin

Profile Details

NPI number 1932174117
LBN Legal business name Martinelli, Dean Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 27th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932174117 NPPES
Wisconsin MEDICAID 30179100
Wisconsin Other 588
Wisconsin Other 1004202

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