NPI 1003903832
Douglas Carl Kubek, DO
Practice location
- Address
- 21000 E 12 Mile Rd STE 111, Saint Clair Shores, MI 48081-1156
- Phone
- (586) 779-7610
- Fax
- (586) 779-1391
Registered specialties (2)
Sleep Medicine (Otolaryngology) Physician
Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Registry record
- NPI
- 1003903832
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Oct 2006
- Record last updated
- 9 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.