Individual
DR. DERRICK ROBSON SIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2283
Mailing address
PO BOX 1324, WAUSAU, WI 54402-1324
(414) 559-1273
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
61877 - 20
WI
2085R0204X
Vascular & Interventional Radiology Physician
61877 - 20
WI
Other
Enumeration date
06/30/2008
Last updated
06/23/2014
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