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Individual
DR. MICHAEL ANTHONY HAGMANN
Active
Individual
DR. MICHAEL ANTHONY HAGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
017685
LA
207YP0228X
Pediatric Otolaryngology Physician
Primary
017685
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1355747
—
LA
01
—
72-1285293
TAX ID
LA
Enumeration date
07/27/2006
Last updated
01/18/2019
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