Provider Demographics
NPI:1083865703
Name:ANGOVE, ARTHUR EUGENE (DO)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:EUGENE
Last Name:ANGOVE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21501 W CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53146-1928
Mailing Address - Country:US
Mailing Address - Phone:262-542-5553
Mailing Address - Fax:
Practice Address - Street 1:21501 W CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53146-1928
Practice Address - Country:US
Practice Address - Phone:262-542-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15536208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery