Individual
MATTHEW MICHAEL HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
Mailing address
4300 MARKETPOINTE DR, STE 100, BLOOMINGTON, MN 55435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457108599
—
MN
Enumeration date
05/06/2024
Last updated
09/18/2025
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