Individual
DR. MICHAEL ANTHONY HAGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE # 2309, NEW ORLEANS, LA 70118-5720
(504) 897-4297
(504) 894-5563
Mailing address
200 HENRY CLAY AVE # 2309, NEW ORLEANS, LA 70118-5720
(504) 897-4297
(504) 894-5563
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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