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Dr. Douglas Carl Kubek, DO
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Saint Clair Shores, Michigan
NPI 1003903832

Douglas Carl Kubek is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Saint Clair Shores, MI and is specialized in Plastic Surgery within the Head & Neck. Douglas Carl Kubek practices in Saint Clair Shores, MI and has the professional credentials of DO. The NPI Number for Douglas Carl Kubek is 1003903832 and holds a License No. 5101012806 (Michigan).

The current practice location address for Douglas Carl Kubek is 21000 E 12 Mile Rd, Saint Clair Shores, MI and can be reached out via phone at 586-779-7610 and via fax at 586-779-1391.

Location: 21000 E 12 Mile Rd, Saint Clair Shores, MI, 48081-1156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003903832
Provider Name
Douglas Carl Kubek
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
21000 E 12 Mile Rd, Saint Clair Shores, MI, 48081-1156
Phone Number
586-779-7610
Fax Number
586-779-1391
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0455010215 01 MI BCBSM
14075 01 MI MCARE
040E061920 01 BLUE SHIELD
133060 01 MI CARE CHOICES
104200 01 MI GREAT LAKES HMO
4535235 05 MI
institution
Provider Business Practice Location Address Details
Address
21000 E 12 Mile Rd
City
Saint Clair Shores
State
Michigan
Zip
48081-1156
Phone Number
586-779-7610
Fax Number
586-779-1391
person
Provider Business Mailing Address Details
Address
21000 E 12 Mile Rd
City
Saint Clair Shores
State
Michigan
Zip
48081-1156
Phone Number
586-779-7610
Fax Number
586-779-1391
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Sleep Medicine
Taxonomy
207YS0012X
License No.
5101012806 (Michigan)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
5101012806 (Michigan)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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