Individual
DR. DAVID JAMES KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 N 28TH ST E, SUPERIOR, WI 54880-6548
(715) 395-3930
Mailing address
109 N 28TH ST E, SUPERIOR, WI 54880-6548
(715) 395-3930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29562
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080110287
MEDICARE RR
MN
05
—
4957181
—
WI
01
—
P00368000
MEDICARE RR
WI
Enumeration date
05/10/2006
Last updated
10/19/2007
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