Individual
MRS. HEATHER RASMUSSEN HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 PHALEN BLVD MSC 41102B, SAINT PAUL, MN 55101-5302
(651) 254-7580
(651) 254-7584
Mailing address
2551 38TH AVE NE UNIT 206, MINNEAPOLIS, MN 55421-5008
(713) 256-6685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10254
MN
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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