Individual
SONYA R EIBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3916 N INTERTECH CT, APPLETON, WI 54913
(920) 996-1000
(920) 997-8302
Mailing address
3916 N INTERTECH CT, APPLETON, WI 54913
(920) 996-1000
(920) 997-8302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34220-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110076311
RR MEDICARE
—
05
—
31974700
—
WI
Enumeration date
07/01/2006
Last updated
01/28/2014
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