Individual
DR. RICHARD JOSEPH KUBICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-3344
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
46028
MN
208600000X
Surgery Physician
46028
MN
2086S0129X
Vascular Surgery Physician
Primary
46028
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260491400
—
MN
Enumeration date
06/29/2006
Last updated
08/09/2024
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