Individual provider · Type 1 NPI

Derrick Robson Siebert, MD

Diagnostic Radiology Physician · Wausau, WI

NPI number 1063674224 Active

Practice location

333 Pine Ridge Blvd
Wausau, WI 54401-4120

Mailing address

PO Box 1324
Wausau, WI 54402-1324

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X61877 - 20 (WI)
Vascular & Interventional Radiology Physician 2085R0204X61877 - 20 (WI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1063674224

Derrick Robson Siebert, MD's National Provider Identifier is 1063674224, issued on Jun 30, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Wausau, WI. The record was last updated on Jun 23, 2014.