MITCHELL LEE BUBAN

KENOSHA, WI
NPI1215888904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-02-07
Last Update Date2026-02-07
Business Address
MITCHELL LEE BUBAN
7612 46TH AVE
KENOSHA, WI 53142-4272
Phone number: 262-577-4680
Mailing Address
MITCHELL LEE BUBAN
7612 46TH AVE
KENOSHA, WI 53142-4272
Phone number: 262-577-4680