Individual
MICHELLE KUBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
Mailing address
16435 DELLWOOD DR, CLIVE, IA 50325-2576
(515) 205-0020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
079256
IA
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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