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Individual

DANIEL HAGERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1656 CENTRAL ST W, BAGLEY, MN 56621-4357
(218) 694-2384
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201503793NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
CNP55375
NM

Other

Enumeration date
06/22/2015
Last updated
03/06/2025
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