Individual
DR. AGNIESZKA S HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11850 BLACKFOOT ST NW STE 130, COON RAPIDS, MN 55433-2583
(763) 236-1900
(763) 236-9010
Mailing address
11850 BLACKFOOT ST NW STE 130, COON RAPIDS, MN 55433-2583
(763) 236-1900
(763) 236-9010
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
44333
MN
2086S0122X
Plastic and Reconstructive Surgery Physician
K2093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300140
MEDICA
MN
01
—
131146
UCARE
MN
01
—
131MOHA
BLUE CROSS BLUE SHIELD
MN
01
—
180700500
MA
MN
05
—
180700500
—
MN
01
—
7581471
AETNA
—
01
—
92321
HEALTH PARTNERS
MN
01
—
C03935
MEDICARE CORPORATION
MA
Enumeration date
08/18/2006
Last updated
11/10/2020
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