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1891793733

NPI Code Detail

MEDICARE: JAMES E HUBBARD MD

MEDICARE: JAMES E HUBBARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301077861	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	JH077861	OTHER	MI	BLUE CROSS BLUE SHIELD MI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1028410	OTHER		PREFERREDONE
5	44G52HU	OTHER	MN	BCBS

General Provider Information

NPI Number	:	1891793733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES E HUBBARD MD

Provider Business Mailing Address
First Line	:	N10565 GRANDVIEW LN
Second Line	:
City	:	IRONWOOD
State	:	MI
Zip	:	49938-9622
Country	:	US
Telephone Number	:	906-932-1500
Fax Number	:	906-932-4585

Provider Business Practice Location Address
First Line	:	N10565 GRANDVIEW LN
Second Line	:
City	:	IRONWOOD
State	:	MI
Zip	:	49938-9622
Country	:	US
Telephone Number	:	906-932-1500
Fax Number	:	906-932-5630

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	11/23/2009

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Directions to “ JAMES E HUBBARD MD” Practice Location

Language	Start Address	Practice Location

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