Individual
DR. REUBEN NICHOLAS LUBKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5710
(763) 586-5888
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38018
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407201
MEDICA #
MN
01
—
1008090
PREFERRED ONE
MN
01
—
112836
UCARE MN#
MN
01
—
1754290
AMERICA'S PPO
MN
01
—
904S7LU
BCBS OF MN
MN
01
—
HP10917
HEALTHPARTNERS
MN
Enumeration date
07/02/2006
Last updated
07/09/2007
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