Mark E Bubak
Internist - Allergy & Immunology
2200 W 49th St Ste 104
Sioux Falls
, South Dakota 57105-6550
Mark E Bubak
Internist - Allergy & Immunology
2200 W 49th St Ste 104
Sioux Falls
, South Dakota 57105-6550
(605) 373-9971
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Mark E Bubak
- Po Box 5126
- Sioux Falls, SD
- Zip : 57117-5126
- Fax : (605) 373-9971
- Phone : (605) 335-1952
Second Address
- Mark E Bubak
- 2200 W 49th St Ste 104
- Sioux Falls, SD
- Zip : 57105-6550
- Fax : (605) 336-6513
- Phone : (605) 336-6385
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 3512 | SD |
National Provider Identifier
| NPI | 1336196724 |
|---|---|
| Provider Name | Mark E Bubak |
| First Address | Sioux Falls, SD 57117-5126 |
| Second Address | Sioux Falls, SD 57105-6550 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2006 |
| Last Update Date | 21/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0007519 | BCBS (01) | SD |
| 1981852 | (05) | IA |
| 5900042 | (05) | SD |
| 73Q32BU | BCBS (01) | MN |
| 792302300 | (05) | MN |
| E84703 | (02) |
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.