Individual
DR. TED DANIEL SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(612) 863-6590
Mailing address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
60340
MN
207P00000X
Emergency Medicine Physician
65067-20
WI
Other
Enumeration date
04/15/2009
Last updated
06/13/2022
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