Individual
SANDRA J RIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 439-5330
Mailing address
827 S PIETY ST, ELLSWORTH, WI 54011-9133
(715) 273-4585
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
555
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005972
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
06/06/2008
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