Individual provider · Type 1 NPI

Jack Edward Hubbard Jr., PhD, MD

Neurology Physician · Burnsville, MN

NPI number 1194772103 Active

Practice location

675 E Nicollet Blvd, Suite 100
Burnsville, MN 55337-6749

Fax (763) 302-4336

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X24157 (MN)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1194772103

Jack Edward Hubbard Jr., PhD, MD's National Provider Identifier is 1194772103, issued on May 27, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Burnsville, MN. The record was last updated on Dec 1, 2011.