Individual
JACQUELINE HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 W VERNON AVE, FERGUS FALLS, MN 56537-2741
(218) 739-2221
Mailing address
1810 39TH ST S APT 206, FARGO, ND 58103-4419
(701) 220-0560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
67356
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2016
Last updated
07/02/2020
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