Individual
DR. EDWARD WILLIAM KUBEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1373 E SR 62, MADISON, IN 47250
(812) 801-0840
(812) 801-0024
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01078254A
IN
208600000X
Surgery Physician
01078254A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1075366
ANTHEM
IN
01
—
226996
SIHO
IN
05
—
300001450
—
IN
01
—
4384232
AETNA
IN
01
—
50126138
KY PASSPORT
KY
01
—
5778586
UHC
IN
05
—
7100469740
—
KY
Enumeration date
05/31/2007
Last updated
01/21/2021
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