Individual
MR. DERRICK DR RIEBE-LINCOLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-1176
Mailing address
314 E MONOWAU ST, TOMAH, WI 54660-2116
(608) 669-7432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161149-030
WI
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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