Individual
DANIEL LIBKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
385 MORAGA AVE, PIEDMONT, CA 94611-3927
(510) 410-1545
Mailing address
2100 POWELL ST STE 900, CEP-MEDAMERICA ATTN. BERTA AVILA, EMERYVILLE, CA 94608-1844
(510) 350-2664
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A39313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A39313
MEDICAL DOCTOR
CA
Enumeration date
02/05/2007
Last updated
07/16/2015
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