MEDICARE: DR. ARTHUR EUGENE ANGOVE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	15536	WI

General Provider Information

NPI Number	:	1083865703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR EUGENE ANGOVE D.O.

Provider Business Mailing Address
First Line	:	21501 W CLEVELAND AVE
Second Line	:
City	:	NEW BERLIN
State	:	WI
Zip	:	53146-1928
Country	:	US
Telephone Number	:	262-542-5553
Fax Number	:

Provider Business Practice Location Address
First Line	:	21501 W CLEVELAND AVE
Second Line	:
City	:	NEW BERLIN
State	:	WI
Zip	:	53146-1928
Country	:	US
Telephone Number	:	262-542-5553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	10/01/2008

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