Organization
MICHAEL MCCUBBIN, MD, PC
Active
Other names
Allergy, Lung and Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M MCCUBBIN M.D. (PHYSICIAN/OWNER)
(641) 621-1487
Entity
Organization
Contact information
Practice address
1108 WASHINGTON ST, PELLA, IA 50219-1508
(641) 621-1487
(641) 621-1601
Mailing address
1108 WASHINGTON ST, PELLA, IA 50219-1508
(641) 621-1487
(641) 621-1601
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
21379
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2192369
—
IA
01
—
35603
WELLMARK
IA
01
—
35603
WELLMARK
—
Enumeration date
04/23/2007
Last updated
11/10/2010
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