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Individual

GERALD M RIEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-2630
(605) 882-0447
Mailing address
PO BOX 170, WATERTOWN, SD 57201-0170
(605) 882-2630
(605) 882-0447

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5045
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040322
BCBS
SD
05
133780700
MN
01
200044143
RAILROAD MEDICARE
01
249T2RI
BCBS
MN
05
6402100
SD
Enumeration date
07/22/2006
Last updated
12/19/2012
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