# DOUGLAS KUBEK, DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992986921
- **Authorized official:** DOUGLAS KUBEK DO (PRESIDENT)
- **Authorized official phone:** (586) 751-6034

## Contact information

- **Practice address:** 27301 SCHOENHERR RD, SUITE 105, WARREN, MI 48088-6649
- **Practice address phone:** (586) 751-6034
- **Practice address fax:** (586) 751-6043
- **Mailing address:** 27301 SCHOENHERR RD, SUITE 105, WARREN, MI 48088-6649
- **Mailing address phone:** (586) 751-6034
- **Mailing address fax:** (586) 751-6043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | DK012806 | MI | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 11/19/2007
