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Individual

HIEU KIM CABAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9825 HOSPITAL DR STE 300, MAPLE GROVE, MN 55369-4768
(763) 587-7900
(763) 494-7501
Mailing address
9201 W BROADWAY AVE STE 601, BROOKLYN PARK, MN 55445-1924
(763) 587-7900
(763) 587-7066

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9848
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141638300
MN
Enumeration date
05/10/2006
Last updated
01/06/2026
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