Individual
JONATHAN BIEBL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3580 ARCADE ST, VADNAIS HEIGHTS, MN 55127-7135
(651) 968-5770
(651) 968-5775
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23233
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200023909
RAILROAD MEDICARE
MN
05
—
351567200
—
MN
Enumeration date
03/17/2006
Last updated
07/01/2015
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