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Individual

DR. JUSTIN KYLE HALBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1390 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4001
(651) 232-4800
Mailing address
1690 UNIVERSITY AVE W STE 370, SAINT PAUL, MN 55104-3723
(651) 232-5321

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0438840
KS
207RC0000X
Cardiovascular Disease Physician
Primary
63322
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002381
MEDICARE PTAN
KS
05
201135350A
KS
Enumeration date
04/07/2010
Last updated
01/18/2024
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