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Contact Information

DAVID A LIEBELT, M.D., PH.D.
820 E GRANT ST
APPLETON, WI54911-3483
 Phone: 920-831-5050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DAVID A LIEBELT · (Male)

NPI # 1205132321
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 02/07/2011
Last updated 08/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 66283
  • IN Medicaid 201236820
Hospital affiliation(s)
  • APPLETON MED CTR - (Acute Care)
    1818 N MEADE ST
    APPLETON, WI 54911
  • BERLIN MEMORIAL HOSPITAL - (Critical Access)
    225 MEMORIAL DRIVE
    BERLIN, WI 54923
  • NEW LONDON FAMILY MED CTR - (Critical Access)
    1405 MILL ST
    NEW LONDON, WI 54961
  • SHAWANO MED CTR - (Critical Access)
    309 N BARTLETTE ST
    SHAWANO, WI 54166
  • THEDA CLARK MED CTR - (Acute Care)
    130 2ND ST
    NEENAH, WI 54956
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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