# HAGEN CHIROPRACTIC CLINIC PROF LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194867846
- **Authorized official:** DR. MARK PALMER HAGEN D.C. (OWNER)
- **Authorized official phone:** (605) 361-6824

## Contact information

- **Practice address:** 3405 S KIWANIS AVE, SIOUX FALLS, SD 57105-4213
- **Practice address phone:** (605) 361-6824
- **Practice address fax:** (605) 333-0441
- **Mailing address:** 3405 S KIWANIS AVE, SIOUX FALLS, SD 57105-4213
- **Mailing address phone:** (605) 361-6824
- **Mailing address fax:** (605) 333-0441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 769 | SD | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/18/2014