Individual
DR. ALEXANDER M. GUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6569 N CHARLES ST, SUITE 707, BALTIMORE, MD 21204-6831
(410) 821-8181
(410) 821-0790
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5741
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0016496
MD
208200000X
Plastic Surgery Physician
18328
WI
208200000X
Plastic Surgery Physician
39832
SC
208200000X
Plastic Surgery Physician
Primary
71689
WI
Other
Enumeration date
03/15/2007
Last updated
10/09/2019
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