Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Derrick Robson Siebert, MD

Individual provider Diagnostic Radiology Physician · NPI 1063674224

Dr. Derrick Robson Siebert, MD is a Diagnostic Radiology in Wausau, Wisconsin. Graduated from Medical College of Wisconsin in 2008, 18 years ago. Practices with Radiology Associates of Wausau SC, a 23-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
18
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

333 Pine Ridge Blvd
Wausau, WI 54401-4120
Phone: (715) 847-2283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 61877 - 20 (WI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 61877 - 20 (WI)

Record details

NPI number1063674224
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2008
Last updated in NPPESJune 23, 2014
Mailing addressPo Box 1324, Wausau, WI 54402-1324

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2008 (18 years in practice)
Group practice Radiology Associates Of Wausau Sc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

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