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Individual

DR. MARK N KUBINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 343-3311
Mailing address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 343-3311

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35067370
OH
207P00000X
Emergency Medicine Physician
Primary
35.067370
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0170532
OH
Enumeration date
10/13/2006
Last updated
06/24/2021
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