Individual
JOHN RAY KASHUBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 468-4841
(937) 619-4150
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35066039K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000319939
BCBS
—
05
—
0141804
—
OH
Enumeration date
04/27/2006
Last updated
08/23/2011
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