Individual
DR. JOEL W NIEBUHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
54572-021
WI
207RP1001X
Pulmonary Disease Physician
Primary
54572-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10010891
—
WI
Enumeration date
05/22/2007
Last updated
10/07/2025
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