Individual
DR. JACK RUSSELL LUBKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(701) 630-0542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72721
MN
Other
Enumeration date
03/27/2018
Last updated
02/06/2023
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