Individual
DEIDRE PRIBEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8922
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3252-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992135420
—
WI
Enumeration date
11/19/2013
Last updated
11/12/2020
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