Individual
MITCHELL HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
935 WAYZATA BLVD E STE 200, WAYZATA, MN 55391-2513
(763) 220-8030
Mailing address
935 WAYZATA BLVD E STE 200, WAYZATA, MN 55391-2513
(763) 220-8030
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
321271
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
73195
MN
Other
Enumeration date
04/17/2018
Last updated
07/09/2024
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