Individual
NATHANIEL HAGLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
38653-020
WI
2085R0202X
Diagnostic Radiology Physician
25MA11099500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38653-020
WI LICENSE
WI
Enumeration date
12/04/2006
Last updated
05/03/2024
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