Individual
REBECA MARIA LIEBL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2202 S PARK ST, MADISON, WI 53713-1916
(608) 443-5480
(608) 443-5534
Mailing address
2901 W BELTLINE HWY STE 120, MADISON, WI 53713-4231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77834
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2021
Last updated
10/24/2024
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