Individual
PATRICIA E KUBACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 GRAND AVE, WAUSAU, WI 54403-6497
(715) 842-9882
(715) 858-0659
Mailing address
330 GRAND AVE, WAUSAU, WI 54403-6497
(715) 842-9882
(715) 858-0659
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
3501003011
MI
237700000X
Hearing Instrument Specialist
Primary
806-060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3501003011
HEARING AID SALESPERSON LICENSE
MI
01
—
806 060
HEARING INSTRUMENT SPECIALIST LIC #
WI
Enumeration date
09/16/2008
Last updated
09/16/2008
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