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Individual

DR. THANE ALEXANDER LUKE KUBIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MS

Contact information

Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 624-8133
Mailing address
420 DELAWARE ST SE, MMC 609, MAYO D142, MINNEAPOLIS, MN 55455
(612) 624-8133

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
73228
MN

Other

Enumeration date
07/31/2023
Last updated
07/12/2024
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