Individual
GREG A BIBERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1133 COLLEGE AVE, STE E-220, MANHATTAN, KS 66502-2770
(785) 537-9030
(785) 537-3334
Mailing address
1133 COLLEGE AVE, STE E-220, MANHATTAN, KS 66502-2770
(785) 537-9030
(785) 537-3334
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
04 20867
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21917BI
BLUE SHIELD
KS
Enumeration date
10/25/2006
Last updated
07/08/2007
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