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NPI Code Detail

MEDICARE: MIKE DREIBELBEIS

MEDICARE:   MIKE  DREIBELBEIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1994OTHERIALICENSE#

General Provider Information

NPI Number : 1780794461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKE DREIBELBEIS
Provider Business Mailing Address
First Line : 8121 HEATHER BOW
Second Line :
City : JOHNSTON
State : IA
Zip : 50131-8734
Country : US
Telephone Number : 515-251-8940
Fax Number :
Provider Business Practice Location Address
First Line : 1978 GRAND AVE
Second Line : SUITE 45
City : WEST DES MOINES
State : IA
Zip : 50265-4217
Country : US
Telephone Number : 515-221-2220
Fax Number : 515-221-2700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ MIKE DREIBELBEIS ” Practice Location

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