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Individual

DANIEL D PRIEBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5200 HUMMINGBIRD RD, STE 100, WAUSAU, WI 54401-6312
(715) 359-6442
(715) 393-0390
Mailing address
5200 HUMMINGBIRD RD, STE 100, WAUSAU, WI 54401-6312
(715) 359-6442
(715) 393-0390

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42766
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
42766
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30098400
WI
Enumeration date
08/13/2006
Last updated
03/07/2023
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