IndividualActive
Douglas Kubek, D.O.
NPI 1003903832 · Sleep Medicine (Otolaryngology) Physician · Saint Clair Shores, MI
Provider details
- NPI number
- 1003903832
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 5101012806 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
21000 E 12 Mile Rd
Ste 111
Saint Clair Shores, MI 48081-1156
Phone: (586) 779-7610
Fax: (586) 779-1391
Approximate (ZIP-level) locationGet directions
Mailing address
21000 E 12 Mile Rd
Saint Clair Shores, MI 48081-1156
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2021-03-09
- Certified
- 2021-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.