Individual
ERIC JOHN KUBRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13101 ALLEN RD, SUITE 100, SOUTHGATE, MI 48195-2216
(734) 785-7714
(734) 287-1679
Mailing address
13101 ALLEN RD, SUITE 100, SOUTHGATE, MI 48195-2216
(734) 785-7714
(734) 287-1679
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301054284
MI
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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