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Individual

LEE M HAGGENJOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
502 2ND ST SW STE 1, WILLMAR, MN 56201-3365
(320) 235-7232
Mailing address
502 2ND ST SW STE 1, WILLMAR, MN 56201-3365
(320) 235-7232

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64235
MN

Other

Enumeration date
02/07/2015
Last updated
05/25/2023
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