Individual
PAUL J CHUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19229 MACK AVE, SUITE 10, GROSSE POINTE WOODS, MI 48236
(313) 647-3100
(313) 647-3111
Mailing address
19229 MACK AVE, SUITE 10, GROSSE POINTE WOODS, MI 48236
(313) 647-3100
(313) 647-3111
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
059239
MI
2085R0001X
Radiation Oncology Physician
Primary
4301059239
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4151916
—
MI
Enumeration date
07/17/2006
Last updated
01/02/2014
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