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Individual

STEVEN J KULBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00009116
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110245852
RR MCR
01
51512225
BCBS
AL
05
529913030
AL
Enumeration date
07/28/2006
Last updated
06/20/2024
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