Individual
STEPHEN A BRIETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2273
(573) 884-4609
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2002003272
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157696
BLUE SHIELD
MO
05
—
205876105
—
MO
01
—
3300133
UNITED HEALTHCARE
MO
01
—
481200
HEALTHLINK
MO
Enumeration date
06/01/2006
Last updated
08/16/2022
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