Individual
CURTIS JACOB HANBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 396, MINNEAPOLIS, MN 55455
(612) 625-7692
Mailing address
PHILLIPS WANGENSTEEN BUILDING, 516 DELAWARE ST SE, MINNEAPOLIS, MN 55455
(612) 625-3200
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
25425
TX
207Y00000X
Otolaryngology Physician
Primary
77616
MN
207Y00000X
Otolaryngology Physician
T5578
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77616
MINNESOTA MEDICAL LICENSE
MN
Enumeration date
04/13/2017
Last updated
07/12/2024
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