Individual
HERMANN J STUBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
14135
PR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME1004444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020886ST
TRIPLES PROVIDER NUMBER
PR
05
—
280158200
—
FL
Enumeration date
06/19/2006
Last updated
04/09/2008
Update your record
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