Individual
DR. DAVID ALBERT LIEBELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 831-5050
(920) 738-6400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
66283
WI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
66283
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201236820
—
IN
Enumeration date
02/07/2011
Last updated
08/26/2021
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