Individual
DR. DOUGLAS CARL KUBEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21000 E 12 MILE RD, STE 111, SAINT CLAIR SHORES, MI 48081-1156
(586) 779-7610
(586) 779-1391
Mailing address
21000 E 12 MILE RD, STE 111, SAINT CLAIR SHORES, MI 48081-1156
(586) 263-7400
(586) 326-3161
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us