Individual
DR. SPENCER H KUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 SMITH AVE N, SUITE 400, SAINT PAUL, MN 55102-2533
(651) 290-0133
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30271
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046087700
—
MN
Enumeration date
03/17/2006
Last updated
11/09/2020
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