Individual
DR. DAVID L PRIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3986 MARYVILLE RD, GRANITE CITY, IL 62040-4191
(618) 797-0618
(618) 797-2243
Mailing address
3986 MARYVILLE RD, GRANITE CITY, IL 62040-4191
(618) 797-0618
(618) 797-2243
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
66430
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47081633613
—
NE
Enumeration date
06/16/2006
Last updated
04/18/2022
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