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MARK E BUBAK MD

Allergy

Sioux Falls, South Dakota

Provider NPI: 1336196724

Provider Information:
 MARK E BUBAK MD


Practice Location:
2200 W 49TH ST STE 104  SIOUX FALLS, SD 57105 US
Tel: 605-336-6385  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RA0201XPhysicians
Internal Medicine
Allergy & Immunology
SD3512

Other Provider Identifiers:

IssuerNumberStateType
BCBS73Q32BUMN01
1981852IA05
BCBS0007519SD01
5900042SD05
792302300MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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