| Doctor Name: | RICHARD D DALVE |
| NPI Number: | 1669467882 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25233 |
| Business Practice Address: | W12802 County Highway A Bowler, WI - 54416 |
| Business Phone Number: | 7157934144 |
| Business Fax Number: | 7157935062 |
| Mailing Address: | W12802 County Highway A, BOWLER |
| State: | WI |
| Postal Code: | 54416 |
| Phone Number: | 7157934144 |
| Fax Number: | 7157935062 |
| NPI Enumeration Date: | 09/14/2005 |
| NPI Last Update Date: | 08/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |