Individual
JEFFREY HUBBARD PARCELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24911 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48080-3200
(586) 777-2050
(586) 777-2189
Mailing address
24911 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48080-3200
(586) 777-2050
(586) 777-2189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301049455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2907609
—
MI
01
—
700E012740
BCBS GROUP NUMBER
MI
Enumeration date
08/09/2005
Last updated
02/18/2014
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