Individual
MICHAEL KUBEK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19805 CRYSTAL LAKE DR, NORTHVILLE, MI 48167-2522
(248) 449-6425
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3430
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02003348A
IN
207P00000X
Emergency Medicine Physician
Primary
5101016047
MI
Other
Enumeration date
03/31/2008
Last updated
03/24/2022
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