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Individual
MR. THOMAS JOHN HUBER
Active
Individual
MR. THOMAS JOHN HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2294
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201750841
TAX ID
SD
01
—
2294
DAKOTACARE
SD
01
—
27032
SVHP
SD
01
—
4995175
BCBS
SD
05
—
5601844
—
SD
Enumeration date
06/08/2006
Last updated
03/29/2022
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