Siebert, Derrick Robson

Siebert, Derrick Robson is an individual health care provider with primary practice located at 333 Pine Ridge Blvd , Wausau WI 54401-4120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Siebert, Derrick Robson can be contacted via phone (715) 847-2283.

Contact Information

Primary practice address
333 Pine Ridge Blvd Wausau WI 54401-4120
Phone: (715) 847-2283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 61877 - 20 Wisconsin
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 61877 - 20 Wisconsin

Profile Details

NPI number 1063674224
LBN Legal business name Siebert, Derrick Robson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Jun 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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