Individual
NICOLA MITRI HABASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
36152
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
09/29/2025
Last updated
04/17/2026
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