Individual
DR. BRADLEY DUANE HAGEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1090 SOUTHDALE CTR, EDINA, MN 55435-7050
(952) 929-2442
(952) 927-0088
Mailing address
1090 SOUTHDALE CTR, EDINA, MN 55435-7050
(952) 929-2442
(952) 927-0088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1981
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1981
STATE LICENSE
MN
Enumeration date
04/02/2008
Last updated
03/07/2023
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