Individual
DR. MICHAEL JEREMY JUBANG
Active
Individual
DR. MICHAEL JEREMY JUBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
BP1-0028963
TX
2085R0202X
Diagnostic Radiology Physician
Primary
MD441379
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4651659625
MYUTMB 4651659625
—
Enumeration date
08/05/2007
Last updated
10/21/2010
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