Individual
DR. MICHAEL M MCCUBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1108 WASHINGTON STREET, PELLA, IA 50219
(641) 621-1487
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-4015
(515) 282-6235
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
21379
IA
207KA0200X
Allergy Physician
21379
IA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
21379
IA
2080P0214X
Pediatric Pulmonology Physician
21379
IA
2080S0012X
Pediatric Sleep Medicine Physician
21379
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2192369
—
IA
01
—
35603
WELLMARK BCBS
IA
01
—
DD1839
RAILROAD MEDICARE
IA
Enumeration date
07/25/2006
Last updated
03/26/2014
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