Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK EDWARD HUBBARD JR., PH.D., M.D.
ActiveNeurology · BURNSVILLE, MN
Registration Details
- NPI Number
- 1194772103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2006 (19.901697374566 yrs)
- Last Updated
- Dec 1, 2011
- License
-
24157 (MN)
Practice Information
- Address
-
675 E NICOLLET BLVDSUITE 100BURNSVILLE, MN, 553376749Browse MN providers · Browse ZIP 55337
- Phone
- 9524358516
- Fax
- 7633024336
- Primary Specialty
-
Neurology
2084N0400X
Other Neurology Providers in BURNSVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. INGRID ABOLS-MANTYH | M.D. | 1487607495 |
| DR. RAJIV KUMAR AGGARWAL | M.B., B.S. | 1942247986 |
| DR. LELAND JAMES SCOTT | M.D., PH.D. | 1508803834 |
| GURDESH SINGH BEDI | MD | 1992908826 |
| DR. STUART BERGMAN-BOCK | M.D. | 1639463185 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.