Provider Demographics
NPI:1871112441
Name:DOUBEK, ALEXANDER DENNIS (DO)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:DENNIS
Last Name:DOUBEK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 PEBBLE ST
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-4237
Mailing Address - Country:US
Mailing Address - Phone:989-884-2055
Mailing Address - Fax:
Practice Address - Street 1:1220 PEBBLE ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-4237
Practice Address - Country:US
Practice Address - Phone:989-884-2055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH34.017286208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program