Individual
ELIZABETH HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N143W6515 PIONEER RD, CEDARBURG, WI 53012-2705
(262) 377-6933
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(262) 377-6933
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35576
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32223300
—
WI
Enumeration date
07/17/2006
Last updated
03/26/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us