Organization
NORTHERN MICHIGAN ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD KUBE D.O (AUTHORISED REPRESENTATIVE)
(906) 766-5457
Entity
Organization
Contact information
Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(610) 237-4280
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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