Healthcare Provider Details

I. General information

NPI: 1891061883
Provider Name (Legal Business Name): MELANIE ANN DELANEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2012
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17280 W NORTH AVE SUITE 200
BROOKFIELD WI
53045-4366
US

IV. Provider business mailing address

17280 W. NORTH AVENUE SUITE 200
BROOKFIELD WI
53045-3522
US

V. Phone/Fax

Practice location:
  • Phone: 262-754-8000
  • Fax:
Mailing address:
  • Phone: 262-754-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number62047-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: