Individual
INGRID M. HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1352 COMMUNITY DR., ESTES PARK, CO 80517-7434
(970) 586-4386
Mailing address
1352 COMMUNITY DR., ESTES PARK, CO 80517-7434
(970) 586-4386
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13577
CO
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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