Individual
BRIAN P LALIBERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2219 GARFIELD ST, TWO RIVERS, WI 54241-2416
(920) 793-2281
Mailing address
2101 HUNTERS RIDGE CT, MANITOWOC, WI 54220-9046
(920) 682-4319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38974
WI
208M00000X
Hospitalist Physician
Primary
38974
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32381500
—
WI
Enumeration date
01/05/2007
Last updated
11/22/2021
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