Individual
DR. THEODORE JAMES HUBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
32306-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356390884
—
WI
01
—
290008582
RAILROAD MEDICARE
WI
Enumeration date
05/10/2006
Last updated
01/30/2013
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