Healthcare Provider Details
I. General information
NPI: 1699872739
Provider Name (Legal Business Name): ANNE E ARBET M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 TOWER DR
SUN PRAIRIE WI
53590-1239
US
IV. Provider business mailing address
10 TOWER DR DEAN CLINIC
SUN PRAIRIE WI
53590-1239
US
V. Phone/Fax
- Phone: 608-825-3500
- Fax: 608-825-3707
- Phone: 608-825-3500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 49697-020 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: