Dr. Douglas Carl Kubek
Plastic Surgeon (Head & Neck)
21000 E 12 Mile Rd Ste 111
Saint Clair Shores
, Michigan 48081-1156
Dr. Douglas Carl Kubek
Plastic Surgeon (Head & Neck)
21000 E 12 Mile Rd Ste 111
Saint Clair Shores
, Michigan 48081-1156
(586) 326-3161
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Douglas Carl Kubek
- 21000 E 12 Mile Rd Ste 111
- Saint Clair Shores, MI
- Zip : 48081-1156
- Fax : (586) 326-3161
- Phone : (586) 263-7400
Second Address
- Dr. Douglas Carl Kubek
- 21000 E 12 Mile Rd Ste 111
- Saint Clair Shores, MI
- Zip : 48081-1156
- Fax : (586) 779-1391
- Phone : (586) 779-7610
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | 5101012806 | MI |
National Provider Identifier
| NPI | 1003903832 |
|---|---|
| Provider Name | Dr. Douglas Carl Kubek |
| First Address | Saint Clair Shores, MI 48081-1156 |
| Second Address | Saint Clair Shores, MI 48081-1156 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 09/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 040E061920 | BLUE SHIELD (01) | |
| 0455010215 | BCBSM (01) | MI |
| 104200 | GREAT LAKES HMO (01) | MI |
| 133060 | CARE CHOICES (01) | MI |
| 14075 | MCARE (01) | MI |
| 4535235 | (05) | MI |
| H09050 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.