DR. Jack Edward Hubbard JR., PH.D., M.D.
NPI #1194772103 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1194772103
- Entity Type
- Individual
- Name
- DR. Jack Edward Hubbard JR., PH.D., M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Credential
- PH.D., M.D.
- Enumeration Date
- May 27, 2006
- Last Updated
- Dec 1, 2011
Practice Location
- Address
- 675 E NICOLLET BLVD
- Address 2
- SUITE 100
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-6749
- Phone
- (952) 435-8516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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