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Lance Dieter Dubberke, MD
Family Medicine Physician in Shinnston, West Virginia
NPI 1871690115

Lance Dieter Dubberke is a Family Medicine Physician based in Shinnston, WV. Lance Dieter Dubberke practices in Shinnston, WV and has the professional credentials of MD. The NPI Number for Lance Dieter Dubberke is 1871690115 and holds a License No. 16145 (West Virginia).

The current practice location address for Lance Dieter Dubberke is 686 S Pike St, Shinnston, WV and can be reached out via phone at 304-592-2100 and via fax at 304-592-2102.

Location: 686 S Pike St, Shinnston, WV, 26431-1043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871690115
Provider Name
Lance Dieter Dubberke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
686 S Pike St, Shinnston, WV, 26431-1043
Phone Number
304-592-2100
Fax Number
304-592-2102
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0052728000 05 WV
institution
Provider Business Practice Location Address Details
Address
686 S Pike St
City
Shinnston
State
West Virginia
Zip
26431-1043
Phone Number
304-592-2100
Fax Number
304-592-2102
person
Provider Business Mailing Address Details
Address
686 S Pike St
City
Shinnston
State
West Virginia
Zip
26431-1043
Phone Number
304-592-2100
Fax Number
304-592-2102
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
16145 (West Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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