Individual
DR. TYLER MARK HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 234-7400
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
994
ND
Other
Enumeration date
06/04/2012
Last updated
03/05/2023
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