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:
Health care specialties
Specialty | Code | License # | 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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