DR. D.O. Douglas Carl Kubek, NPI 1003903832
Sleep Medicine (Otolaryngology) Physician in Saint Clair Shores, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1003903832
NPI Entity Type Individual
Provider Name DR. D.O. Douglas Carl Kubek
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI, US
Provider Mailing Address 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI, US, 480811156
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207YS0012X

Taxonomy Name Sleep Medicine (Otolaryngology) Physician
Classification

Otolaryngology

Group

Allopathic & Osteopathic Physicians

License No. 5101012806
License State MI
Description An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Business Address

DR. D.O. Douglas Carl Kubek
21000 E 12 Mile Rd
Ste 111

Saint Clair Shores, MI, US

Phone: 586-779-7610
Fax: 586-779-1391

Mailing Address

DR. D.O. Douglas Carl Kubek
21000 E 12 Mile Rd
Ste 111
Saint Clair Shores, MI, US
ZIP 480811156
Phone: 586-263-7400
Fax: 586-326-3161

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207YX0007X

Allopathic & Osteopathic Physicians

Otolaryngology

5101012806 MI No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0455010215 MI BCBSM 01
14075 MI MCARE 01
040E061920 BLUE SHIELD 01
133060 MI CARE CHOICES 01
104200 MI GREAT LAKES HMO 01
4535235 MI MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 15855 19 Mile Rd, Clinton Township, MI, US

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