Individual
DANIEL JOHN BIBELHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 E MAIN ST, SUITE 301, GRASS VALLEY, CA 95945-5853
(530) 271-3200
(530) 274-6367
Mailing address
900 E MAIN ST, SUITE 301, GRASS VALLEY, CA 95945-5853
(530) 271-3200
(530) 274-6367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G26423
CA
Other
Enumeration date
05/17/2007
Last updated
07/24/2007
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