Individual
MR. LIBAN A. HIRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCO, MN 55336
(320) 864-3121
(320) 864-7887
Mailing address
1805 HENNEPIN AVE N, GLENCO, MN 55336
(320) 864-3121
(320) 864-7887
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
56573
MN
207Q00000X
Family Medicine Physician
56573
MN
Other
Enumeration date
05/26/2011
Last updated
12/22/2014
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