person
Dr. Jack Edward Hubbard JR., PHD,MD
Neurology Physician in Burnsville, Minnesota
NPI 1194772103

Jack Edward Hubbard JR. is a Neurology Physician based in Burnsville, MN and is specialized in Neurology. Jack Edward Hubbard JR. practices in Burnsville, MN and has the professional credentials of PHD,MD. The NPI Number for Jack Edward Hubbard JR. is 1194772103 and holds a License No. 24157 (Minnesota).

The current practice location address for Jack Edward Hubbard JR. is 675 E Nicollet Blvd, Burnsville, MN and can be reached out via phone at 952-435-8516 and via fax at 763-302-4336. You can also correspond with Jack Edward Hubbard JR. through the mailing address at 675 E NICOLLET BLVD, BURNSVILLE, MN - 55337-6749 (mailing address contact number: 952-435-8516).

Location: 675 E Nicollet Blvd, Burnsville, MN, 55337-6749
person
Provider Profile Details
NPI Number
1194772103
Provider Name
Jack Edward Hubbard JR.
Credential
PHD,MD
Provider Entity Type
Individual
Gender
Male
Address
675 E Nicollet Blvd, Burnsville, MN, 55337-6749
Phone Number
952-435-8516
Fax Number
763-302-4336
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0265006 01 MN PREFERRED ONE
0506197 01 MN MEDICA
HP13563 01 MN HEALTHPARTNERS
829007500 05 MN
22668 01 MN AMERICA'S PPO
30478600 05 WI
07483HU 01 MN BCBS OF MN
100285C029 01 MN UCARE
130004281 01 MN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
675 E Nicollet Blvd
City
State
Zip
55337-6749
Phone Number
952-435-8516
Fax Number
763-302-4336
person
Provider Business Mailing Address Details
Address
675 E Nicollet Blvd
City
State
Zip
55337-6749
Phone Number
952-435-8516
Fax Number
763-302-4336
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
24157 (Minnesota)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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