Individual
KURT ALAN HABBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3767
Mailing address
200 W 1ST ST, PAYNESVILLE, MN 56362-2024
(320) 243-3767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50838
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130937
MEDICA
—
01
—
416K9HA
BCBS OF MN
MN
05
—
442453200
—
MN
01
—
P00633175
RAILROAD MEDICARE
—
Enumeration date
08/06/2007
Last updated
10/01/2010
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