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Individual

JOHN MIKEL HUBANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
47163
AZ
208800000X
Urology Physician
51942
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
780254
AZ
05
ENROLLED
IA
05
ENROLLED
MN
01
P00970223
RAILROAD MEDICARE
MN
Enumeration date
07/19/2008
Last updated
03/21/2025
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