Individual
DR. STEVEN GLENN HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26245
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251303000
—
MN
Enumeration date
07/21/2005
Last updated
08/05/2020
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