Individual
DR. KIMBERLY HAGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
128 DEPOT ST, WAUSEON, OH 43567-1305
(419) 335-0351
(419) 335-0397
Mailing address
128 DEPOT STREET, WAUSEON, OH 43567-1164
(419) 335-0351
(419) 335-0397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35076863
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2183211
—
OH
Enumeration date
06/24/2005
Last updated
06/10/2021
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