Individual
DAVE J HIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/R
Contact information
Practice address
3003 SNELLING AVENUE N., ST PAUL, MN 55113
(651) 631-5345
(651) 628-3350
Mailing address
3003 SNELLING AVE N, SAINT PAUL, MN 55113-1501
(651) 631-5345
(651) 628-3350
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1192
MN
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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