Individual
MOHAMED HEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 BROADWAY ST NE STE 200, MINNEAPOLIS, MN 55413-2617
(612) 412-3318
Mailing address
2355 FAIRVIEW AVE N STE 181, ROSEVILLE, MN 55113-2724
(507) 993-1260
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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