Individual
DR. MATTHEW CARLISLE HAGEN
Active
Individual
DR. MATTHEW CARLISLE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
35 097773
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35097773
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051637
—
OH
Enumeration date
06/24/2008
Last updated
12/12/2017
Update your record
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