Individual
R SCOTT LIEBL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 S MAIN ST, SUITE 1, OCONTO FALLS, WI 54154-1241
(920) 846-8424
(920) 846-2073
Mailing address
835 S MAIN ST, SUITE 1, OCONTO FALLS, WI 54154-1241
(920) 846-8424
(920) 846-2073
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21763020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1851477913
NPI
—
05
—
30189000
—
WI
01
—
390848401050
BXBS
WI
Enumeration date
10/03/2005
Last updated
09/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us