Keith Bubb
NPI 1487418570 · on the registry since 2024
Practice
- Address
- 606 Highway 123 W
Sandstone, MN 55072 - Phone
- (320) 204-5535
- Fax
- (320) 216-7638
- Clinicians at this address
- 40
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota