Individual
DR. DOUGLAS CARL KUBEK
Active
Individual
DR. DOUGLAS CARL KUBEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
5101012806
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
5101012806
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040E061920
BLUE SHIELD
—
01
—
0455010215
BCBSM
MI
01
—
104200
GREAT LAKES HMO
MI
01
—
133060
CARE CHOICES
MI
01
—
14075
MCARE
MI
05
—
4535235
—
MI
Enumeration date
10/05/2006
Last updated
03/09/2021
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