Individual
GWENDOLYN HUBBELL
Active
Individual
GWENDOLYN HUBBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301102733
MI
2085R0202X
Diagnostic Radiology Physician
51896
KY
2085R0202X
Diagnostic Radiology Physician
D92494
MD
2085R0204X
Vascular & Interventional Radiology Physician
51896
KY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D92494
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090088785
—
DC
05
—
206644100
—
MD
Enumeration date
06/24/2008
Last updated
01/24/2022
Update your record
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