Individual provider · Type 1 NPI
Richard Joseph Kubicka, MD
Vascular Surgery Physician · Princeton, MN
NPI number
1255369989
Active
Practice location
919 Northland Dr
Princeton, MN 55371-2172
Mailing address
1700 University Ave W
St. Paul, MN 55104-3727
Other practice locations
- 290 Main St NW, Suite 100, Elk River, MN 55330-1270 · (763) 241-0373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 46028 (MN) |
| Specialist | 174400000X | 46028 (MN) |
| Surgery Physician | 208600000X | 46028 (MN) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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- Anna Raye Niesen, PA-CPhysician Assistant Princeton, MN NPI 1891165692
- Bethany Rose Kurth, CNPFamily Nurse Practitioner Princeton, MN NPI 1225836141
- Cassandra Marie Shallenberger, RD, LDRegistered Dietitian Princeton, MN NPI 1164180709
- Cindy Ann Lundgren, PA-CPhysician Assistant Princeton, MN NPI 1639123508
- Clifford M. Matushin, DOInternal Medicine Physician Princeton, MN NPI 1639143688
About NPI 1255369989
Richard Joseph Kubicka, MD's National Provider Identifier is 1255369989, issued on Jun 29, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Princeton, MN. The record was last updated on Aug 9, 2024.