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Individual
MARK D MCCUBBIN
Active
Individual
MARK D MCCUBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-057074
IL
207RN0300X
Nephrology Physician
01075950A
IN
207RN0300X
Nephrology Physician
Primary
13000
WI
207RN0300X
Nephrology Physician
50743
KY
207RN0300X
Nephrology Physician
MED-PHYS-LIC-50732
MT
Other
Enumeration date
08/24/2009
Last updated
01/29/2026
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