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Contact Information

DOUGLAS C KUBEK, DO
21000 E 12 MILE RD
STE 111
SAINT CLAIR SHORES, MI48081-1156
 Phone: 586-779-7610
 Fax: 586-779-1391
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DOUGLAS C KUBEK · (Male)

NPI Number 1003903832
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/05/2006
Last updated 03/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101012806
  • MI Medicaid 4535235
  • Other 040E061920 BLUE SHIELD
  • MI Other 0455010215 BCBSM
  • MI Other 133060 CARE CHOICES
  • MI Other 104200 GREAT LAKES HMO
  • MI Other 14075 MCARE
Hospital affiliation(s)
  • BEAUMONT HOSPITAL GROSSE POINTE - (Acute Care)
    468 CADIEUX RD
    GROSSE POINTE, MI 48230
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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