Provider Demographics
NPI:1669637930
Name:DEPPE, ELISABETH RACHEL (DVM)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:RACHEL
Last Name:DEPPE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W WISCONSIN ST
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:WI
Mailing Address - Zip Code:54656-2331
Mailing Address - Country:US
Mailing Address - Phone:608-269-2355
Mailing Address - Fax:
Practice Address - Street 1:500 W WISCONSIN ST
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:WI
Practice Address - Zip Code:54656-2331
Practice Address - Country:US
Practice Address - Phone:608-269-2355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5372-050174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian