Individual
DR. MICHAEL S. HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
92 W. RATLIFF STREET, LUCEDALE, MS 39452-6537
(601) 947-8181
(601) 947-4411
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 947-8181
(601) 947-4411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14811
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117010
—
MS
01
—
080112708
PALMETTO GBA MEDICARE
MS
01
—
C00960
MEDICARE CAHABA
MS
01
—
CN0018
PALMETTO GBA RAILROAD GRO
MS
Enumeration date
08/16/2006
Last updated
11/22/2016
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