| Doctor Name: | MR. ERIC T DELLAMATER |
| NPI Number: | 1023176617 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APNP |
| License Number: | 1920033 |
| Business Practice Address: | 731 Clay St Darlington, WI - 535301225 |
| Business Phone Number: | 6087764497 |
| Business Fax Number: | 6087762317 |
| Mailing Address: | 731 Clay St, DARLINGTON |
| State: | WI |
| Postal Code: | 535301225 |
| Phone Number: | 6087764497 |
| Fax Number: | 6087762317 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 09/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1920033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |